11D0975551 CLIA NUMBER - GORDON DRUG CO

Laboratory Demographics

  • CLIA Code: 11D0975551
  • Facility Name: GORDON DRUG CO
  • Facility Address: 242 MILLEDGEVILLE ROAD
    GORDON, GA
    ZIP 31031
  • Facility Phone: 912 628-2425
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CARL L. STANLEY
  • NPI Number: 1184718942
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D0975551
LAB Type Pharmacy
Facility Name GORDON DRUG CO
Street 242 MILLEDGEVILLE ROAD
City GORDON
State GA
ZIP 31031
Phone 912 628-2425
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2024
Certificate Expiration Date 7/10/2026
Facility Type Pharmacy
Lab Director CARL L. STANLEY

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