11D2042233 CLIA NUMBER - WALGREENS #06330

Laboratory Demographics

  • CLIA Code: 11D2042233
  • Facility Name: WALGREENS #06330
  • Facility Address: 2464 ROSWELL ROAD
    MARIETTA, GA
    ZIP 30062
  • Facility Phone: 678 560-4781
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANGELIQUE R. TURNER
  • NPI Number: 1841577327
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 11D2042233
LAB Type Pharmacy
Facility Name WALGREENS #06330
Street 2464 ROSWELL ROAD
City MARIETTA
State GA
ZIP 30062
Phone 678 560-4781
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2025
Certificate Expiration Date 10/11/2027
Facility Type Pharmacy
Lab Director ANGELIQUE R. TURNER

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