11D2151397 CLIA NUMBER - POOLE'S PHARMACY INC

Laboratory Demographics

  • CLIA Code: 11D2151397
  • Facility Name: POOLE'S PHARMACY INC
  • Facility Address: 660 WHITLOCK AVENUE, SUITE G-1
    MARIETTA, GA
    ZIP 30064
  • Facility Phone: 770 514-1414
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOHN THOMAS SHERRER
  • NPI Number: 1982798476
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2151397
LAB Type Pharmacy
Facility Name POOLE'S PHARMACY INC
Street 660 WHITLOCK AVENUE, SUITE G-1
City MARIETTA
State GA
ZIP 30064
Phone 770 514-1414
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2024
Certificate Expiration Date 7/17/2026
Facility Type Pharmacy
Lab Director JOHN THOMAS SHERRER

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