11D2287765 CLIA NUMBER - WALGREENS 17037

Laboratory Demographics

  • CLIA Code: 11D2287765
  • Facility Name: WALGREENS 17037
  • Facility Address: 2020 HOWELL MILL ROAD NW
    ATLANTA, GA
    ZIP 30318
  • Facility Phone: 404 351-4448
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHANTAL MORFAW
  • NPI Number: 1992229553
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2287765
LAB Type Physician Office
Facility Name WALGREENS 17037
Street 2020 HOWELL MILL ROAD NW
City ATLANTA
State GA
ZIP 30318
Phone 404 351-4448
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2025
Certificate Expiration Date 8/16/2027
Facility Type Physician Office
Lab Director CHANTAL MORFAW

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