11D2229973 CLIA NUMBER - WALGREENS #06202

Laboratory Demographics

  • CLIA Code: 11D2229973
  • Facility Name: WALGREENS #06202
  • Facility Address: 6671 COVINGTON HIGHWAY
    STONECREST, GA
    ZIP 30058
  • Facility Phone: 678 418-0662
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NWAMAKA OKONKWO
  • NPI Number: 1669487864
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2229973
LAB Type Pharmacy
Facility Name WALGREENS #06202
Street 6671 COVINGTON HIGHWAY
City STONECREST
State GA
ZIP 30058
Phone 678 418-0662
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2025
Certificate Expiration Date 7/18/2027
Facility Type Pharmacy
Lab Director NWAMAKA OKONKWO

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