11D2229409 CLIA NUMBER - WALGREENS #19011

Laboratory Demographics

  • CLIA Code: 11D2229409
  • Facility Name: WALGREENS #19011
  • Facility Address: 859 FRANLIN SPRINGS STREET
    ROYSTON, GA
    ZIP 30662
  • Facility Phone: 706 245-8595
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PAULINE NG
  • NPI Number: 1043735350
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2229409
LAB Type Pharmacy
Facility Name WALGREENS #19011
Street 859 FRANLIN SPRINGS STREET
City ROYSTON
State GA
ZIP 30662
Phone 706 245-8595
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 PAULINE NG

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