11D2214474 CLIA NUMBER - WALGREENS #15592

Laboratory Demographics

  • CLIA Code: 11D2214474
  • Facility Name: WALGREENS #15592
  • Facility Address: 898 HORIZON SOUTH PARKWAY
    GROVETOWN, GA
    ZIP 30813
  • Facility Phone: 706 619-2248
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTINA CURRY
  • NPI Number: 1588078778
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2214474
LAB Type Pharmacy
Facility Name WALGREENS #15592
Street 898 HORIZON SOUTH PARKWAY
City GROVETOWN
State GA
ZIP 30813
Phone 706 619-2248
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2025
Certificate Expiration Date 2/22/2027
Facility Type Pharmacy
Lab Director CHRISTINA CURRY

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