11D0874405 CLIA NUMBER - BWS A MAJOR MANAGEMENT SYSTEMS INCOPORATE DBA SCOTTS PHARMACY 1

Laboratory Demographics

  • CLIA Code: 11D0874405
  • Facility Name: BWS A MAJOR MANAGEMENT SYSTEMS INCOPORATE DBA SCOTTS PHARMACY 1
  • Facility Address: 635 PIO NONO AVENUE
    MACON, GA
    ZIP 31204
  • Facility Phone: 478 714-9669
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WADE W. SCOTT
  • NPI Number: 1619530664
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D0874405
LAB Type Pharmacy
Facility Name BWS A MAJOR MANAGEMENT SYSTEMS INCOPORATE DBA SCOTTS PHARMACY 1
Street 635 PIO NONO AVENUE
City MACON
State GA
ZIP 31204
Phone 478 714-9669
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2023
Certificate Expiration Date 8/5/2025
Facility Type Pharmacy
Lab Director WADE W. SCOTT

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This page was last updated on: 6/4/2025