11D2287187 CLIA NUMBER - WALGREENS 18233

Laboratory Demographics

  • CLIA Code: 11D2287187
  • Facility Name: WALGREENS 18233
  • Facility Address: 1100 HAMMOND DRIVE NE, SUITE 500
    ATLANTA, GA
    ZIP 30328
  • Facility Phone: 770 522-8194
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RAIDEL REDONDO
  • NPI Number: 1568985174
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2287187
LAB Type Pharmacy
Facility Name WALGREENS 18233
Street 1100 HAMMOND DRIVE NE, SUITE 500
City ATLANTA
State GA
ZIP 30328
Phone 770 522-8194
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Pharmacy
Lab Director RAIDEL REDONDO

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