11D0975444 CLIA NUMBER - STANS PHARMACY INC

Laboratory Demographics

  • CLIA Code: 11D0975444
  • Facility Name: STANS PHARMACY INC
  • Facility Address: 438 WEST PARKER STREET
    BAXLEY, GA
    ZIP 31513
  • Facility Phone: 912 367-1155
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STAN SMITH
  • NPI Number: 1770510299
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D0975444
LAB Type Pharmacy
Facility Name STANS PHARMACY INC
Street 438 WEST PARKER STREET
City BAXLEY
State GA
ZIP 31513
Phone 912 367-1155
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/7/2024
Certificate Expiration Date 7/6/2026
Facility Type Pharmacy
Lab Director STAN SMITH

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