11D2229398 CLIA NUMBER - WALGREENS #17232

Laboratory Demographics

  • CLIA Code: 11D2229398
  • Facility Name: WALGREENS #17232
  • Facility Address: 1320 CLEVELAND HIGHWAY
    DALTON, GA
    ZIP 30721
  • Facility Phone: 706 272-9346
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SAVANNAH LOFTY
  • NPI Number: 1558884353
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2229398
LAB Type Pharmacy
Facility Name WALGREENS #17232
Street 1320 CLEVELAND HIGHWAY
City DALTON
State GA
ZIP 30721
Phone 706 272-9346
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2025
Certificate Expiration Date 7/11/2027
Facility Type Pharmacy
Lab Director SAVANNAH LOFTY

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