11D0971369 CLIA NUMBER - RICHMOND HILL PHARMACY

Laboratory Demographics

  • CLIA Code: 11D0971369
  • Facility Name: RICHMOND HILL PHARMACY
  • Facility Address: 2409 HWY 17
    RICHMOND HILL, GA
    ZIP 31324
  • Facility Phone: 912 756-3331
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FERRELL A. DIXON JR
  • NPI Number: 1225022916
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D0971369
LAB Type Pharmacy
Facility Name RICHMOND HILL PHARMACY
Street 2409 HWY 17
City RICHMOND HILL
State GA
ZIP 31324
Phone 912 756-3331
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2024
Certificate Expiration Date 2/9/2026
Facility Type Pharmacy
Lab Director FERRELL A. DIXON JR

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