11D2102556 CLIA NUMBER - LEDFORD RX EXPRESS

Laboratory Demographics

  • CLIA Code: 11D2102556
  • Facility Name: LEDFORD RX EXPRESS
  • Facility Address: 1201 N MAIN ST
    LAFAYETTE, GA
    ZIP 30728
  • Facility Phone: (706) 638-1281
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MADISON J. LEDFORD
  • NPI Number: 1376652099
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2102556
LAB Type Pharmacy
Facility Name LEDFORD RX EXPRESS
Street 1201 N MAIN ST
City LAFAYETTE
State GA
ZIP 30728
Phone 7066381281
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2026
Certificate Expiration Date 1/13/2028
Facility Type Pharmacy
Lab Director MADISON J. LEDFORD

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This page was last updated on: 5/15/2026