11D2291819 CLIA NUMBER - WALGREENS 19973

Laboratory Demographics

  • CLIA Code: 11D2291819
  • Facility Name: WALGREENS 19973
  • Facility Address: 189 QUALITY FOODS SHOPPING CTR
    CORNELIA, GA
    ZIP 30531
  • Facility Phone: 706 778-3543
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMY STEWART
  • NPI Number: 1417471095
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2291819
LAB Type Physician Office
Facility Name WALGREENS 19973
Street 189 QUALITY FOODS SHOPPING CTR
City CORNELIA
State GA
ZIP 30531
Phone 706 778-3543
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2025
Certificate Expiration Date 10/16/2027
Facility Type Physician Office
Lab Director AMY STEWART

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: 9/29/2025