11D0994197 CLIA NUMBER - MEDICINE SHOPPE #1527, THE

Laboratory Demographics

  • CLIA Code: 11D0994197
  • Facility Name: MEDICINE SHOPPE #1527, THE
  • Facility Address: 7 JOHNSON DRIVE
    DANIELSVILLE, GA
    ZIP 30633
  • Facility Phone: 706 495-0920
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GEORGE W. ELROD
  • NPI Number: 1861526501
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D0994197
LAB Type Pharmacy
Facility Name MEDICINE SHOPPE #1527, THE
Street 7 JOHNSON DRIVE
City DANIELSVILLE
State GA
ZIP 30633
Phone 706 495-0920
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2023
Certificate Expiration Date 12/6/2025
Facility Type Pharmacy
Lab Director GEORGE W. ELROD

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