11D1027044 CLIA NUMBER - MADDOX DRUGS

Laboratory Demographics

  • CLIA Code: 11D1027044
  • Facility Name: MADDOX DRUGS
  • Facility Address: 1330 BIG A ROAD
    TOCCOA, GA
    ZIP 30577
  • Facility Phone: 706 886-3119
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER S. BRAWNER
  • NPI Number: 1629111786
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D1027044
LAB Type Pharmacy
Facility Name MADDOX DRUGS
Street 1330 BIG A ROAD
City TOCCOA
State GA
ZIP 30577
Phone 706 886-3119
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2024
Certificate Expiration Date 6/21/2026
Facility Type Pharmacy
Lab Director JENNIFER S. BRAWNER

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