11D2229884 CLIA NUMBER - WALGREENS #18205

Laboratory Demographics

  • CLIA Code: 11D2229884
  • Facility Name: WALGREENS #18205
  • Facility Address: 566 E MAIN STREET
    DAHLONEGA, GA
    ZIP 30533
  • Facility Phone: 706 864-7641
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANGELA PENLEY
  • NPI Number: 1528581121
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2229884
LAB Type Pharmacy
Facility Name WALGREENS #18205
Street 566 E MAIN STREET
City DAHLONEGA
State GA
ZIP 30533
Phone 706 864-7641
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2025
Certificate Expiration Date 7/17/2027
Facility Type Pharmacy
Lab Director ANGELA PENLEY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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