11D2042002 CLIA NUMBER - WALGREENS 07526

Laboratory Demographics

  • CLIA Code: 11D2042002
  • Facility Name: WALGREENS 07526
  • Facility Address: 2975 DELK ROAD, SE
    MARIETTA, GA
    ZIP 30067
  • Facility Phone: 770 933-9782
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BARRY NENIN
  • NPI Number: 1134134240
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2042002
LAB Type Pharmacy
Facility Name WALGREENS 07526
Street 2975 DELK ROAD, SE
City MARIETTA
State GA
ZIP 30067
Phone 770 933-9782
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Pharmacy
Lab Director BARRY NENIN

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