11D2229402 CLIA NUMBER - WALGREENS #17271

Laboratory Demographics

  • CLIA Code: 11D2229402
  • Facility Name: WALGREENS #17271
  • Facility Address: 140 FELTON DRIVE
    ROCKMART, GA
    ZIP 30153
  • Facility Phone: 678 685-5181
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAUREN MESSER
  • NPI Number: 1154844975
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2229402
LAB Type Pharmacy
Facility Name WALGREENS #17271
Street 140 FELTON DRIVE
City ROCKMART
State GA
ZIP 30153
Phone 678 685-5181
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 LAUREN MESSER

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