11D2229350 CLIA NUMBER - WALGREENS #17229

Laboratory Demographics

  • CLIA Code: 11D2229350
  • Facility Name: WALGREENS #17229
  • Facility Address: 1101 RED BUD ROAD
    CALHOUN, GA
    ZIP 30701
  • Facility Phone: 706 602-8900
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARKUS CLEVELAND
  • NPI Number: 1861915654
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2229350
LAB Type Pharmacy
Facility Name WALGREENS #17229
Street 1101 RED BUD ROAD
City CALHOUN
State GA
ZIP 30701
Phone 706 602-8900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2023
Certificate Expiration Date 7/11/2025
Facility Type Pharmacy
Lab Director MARKUS CLEVELAND

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This page was last updated on: 3/20/2025