11D2287280 CLIA NUMBER - WALGREENS 19823

Laboratory Demographics

  • CLIA Code: 11D2287280
  • Facility Name: WALGREENS 19823
  • Facility Address: 2498 CUMBERLAND PARKWAY SE
    ATLANTA, GA
    ZIP 30339
  • Facility Phone: 110 432-1533
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: COURTNEY FRALEY
  • NPI Number: 1003330424
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2287280
LAB Type Pharmacy
Facility Name WALGREENS 19823
Street 2498 CUMBERLAND PARKWAY SE
City ATLANTA
State GA
ZIP 30339
Phone 110 432-1533
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2023
Certificate Expiration Date 8/10/2025
Facility Type Pharmacy
Lab Director COURTNEY FRALEY

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: 6/4/2025