11D1058499 CLIA NUMBER - JIM CASH PHARMACY

Laboratory Demographics

  • CLIA Code: 11D1058499
  • Facility Name: JIM CASH PHARMACY
  • Facility Address: 406 CARROLLTON STREET
    BUCHANAN, GA
    ZIP 30113
  • Facility Phone: (770) 646-3570
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PATRICK M. COOK
  • NPI Number: 1891745329
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D1058499
LAB Type Pharmacy
Facility Name JIM CASH PHARMACY
Street 406 CARROLLTON STREET
City BUCHANAN
State GA
ZIP 30113
Phone 7706463570
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2024
Certificate Expiration Date 9/6/2026
Facility Type Pharmacy
Lab Director PATRICK M. COOK

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This page was last updated on: 5/18/2026