11D2219633 CLIA NUMBER - WALGREENS #05899

Laboratory Demographics

  • CLIA Code: 11D2219633
  • Facility Name: WALGREENS #05899
  • Facility Address: 181 SOUTH CLAYTON STREET
    LAWRENCEVILLE, GA
    ZIP 30046
  • Facility Phone: 770 962-0912
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: YEN H. DUONG
  • NPI Number: 1477847275
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2219633
LAB Type Pharmacy
Facility Name WALGREENS #05899
Street 181 SOUTH CLAYTON STREET
City LAWRENCEVILLE
State GA
ZIP 30046
Phone 770 962-0912
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2025
Certificate Expiration Date 4/6/2027
Facility Type Pharmacy
Lab Director YEN H. DUONG

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