11D1027504 CLIA NUMBER - RX DRUG CENTER

Laboratory Demographics

  • CLIA Code: 11D1027504
  • Facility Name: RX DRUG CENTER
  • Facility Address: 1205 EAST SHOTWELL STREET
    BAINBRIDGE, GA
    ZIP 39819
  • Facility Phone: 229 246-1000
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WINSTON B. BROCK
  • NPI Number: 1992738686
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D1027504
LAB Type Pharmacy
Facility Name RX DRUG CENTER
Street 1205 EAST SHOTWELL STREET
City BAINBRIDGE
State GA
ZIP 39819
Phone 229 246-1000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2024
Certificate Expiration Date 6/30/2026
Facility Type Pharmacy
Lab Director WINSTON B. BROCK

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