11D2052274 CLIA NUMBER - WALGREENS #13760

Laboratory Demographics

  • CLIA Code: 11D2052274
  • Facility Name: WALGREENS #13760
  • Facility Address: 3188 HIGHWAY 278 ,NE
    COVINGTON, GA
    ZIP 30014
  • Facility Phone: 770 784-8090
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. ARSANY HANNA
  • NPI Number: 1063760908
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2052274
LAB Type Pharmacy
Facility Name WALGREENS #13760
Street 3188 HIGHWAY 278 ,NE
City COVINGTON
State GA
ZIP 30014
Phone 770 784-8090
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Pharmacy
Lab Director MS. ARSANY HANNA

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