11D2036509 CLIA NUMBER - WALGREENS #09501

Laboratory Demographics

  • CLIA Code: 11D2036509
  • Facility Name: WALGREENS #09501
  • Facility Address: 1056 EAGLES LANDING PARKWAY
    STOCKBRIDGE, GA
    ZIP 30281
  • Facility Phone: 678 284-1535
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RICHARD D. MAJORS
  • NPI Number: 1437170784
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2036509
LAB Type Pharmacy
Facility Name WALGREENS #09501
Street 1056 EAGLES LANDING PARKWAY
City STOCKBRIDGE
State GA
ZIP 30281
Phone 678 284-1535
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2025
Certificate Expiration Date 5/10/2027
Facility Type Pharmacy
Lab Director RICHARD D. MAJORS

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This page was last updated on: 9/29/2025