11D2019094 CLIA NUMBER - PHARMACEUTICAL CONCEPTS, PC DBA LULA PHARMACY & FOOTHILLS GIFT SHOP

Laboratory Demographics

  • CLIA Code: 11D2019094
  • Facility Name: PHARMACEUTICAL CONCEPTS, PC DBA LULA PHARMACY & FOOTHILLS GIFT SHOP
  • Facility Address: 6102 BANKS STREET
    LULA, GA
    ZIP 30554
  • Facility Phone: 770 869-3616
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMY W. MILLER
  • NPI Number: 1942279278
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2019094
LAB Type Pharmacy
Facility Name PHARMACEUTICAL CONCEPTS, PC DBA LULA PHARMACY & FOOTHILLS GIFT SHOP
Street 6102 BANKS STREET
City LULA
State GA
ZIP 30554
Phone 770 869-3616
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2025
Certificate Expiration Date 1/23/2027
Facility Type Pharmacy
Lab Director AMY W. MILLER

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