11D2149495 CLIA NUMBER - CLINIC DRUG STORE DBA PLAINS PHARMACY

Laboratory Demographics

  • CLIA Code: 11D2149495
  • Facility Name: CLINIC DRUG STORE DBA PLAINS PHARMACY
  • Facility Address: 103 MAIN STREET
    PLAINS, GA
    ZIP 31780
  • Facility Phone: 229 824-5255
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: F LEE PINNELL
  • NPI Number: 1457494007
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2149495
LAB Type Pharmacy
Facility Name CLINIC DRUG STORE DBA PLAINS PHARMACY
Street 103 MAIN STREET
City PLAINS
State GA
ZIP 31780
Phone 229 824-5255
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/5/2024
Certificate Expiration Date 6/4/2026
Facility Type Pharmacy
Lab Director F LEE PINNELL

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