11D2287246 CLIA NUMBER - WALGREENS 19047

Laboratory Demographics

  • CLIA Code: 11D2287246
  • Facility Name: WALGREENS 19047
  • Facility Address: 2345 PEACHTREE ROAD NE
    ATLANTA, GA
    ZIP 30305
  • Facility Phone: 404 233-2101
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRIAN T. PAYNE
  • NPI Number: 1871017442
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2287246
LAB Type Pharmacy
Facility Name WALGREENS 19047
Street 2345 PEACHTREE ROAD NE
City ATLANTA
State GA
ZIP 30305
Phone 404 233-2101
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2025
Certificate Expiration Date 8/10/2027
Facility Type Pharmacy
Lab Director BRIAN T. PAYNE

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