11D2153052 CLIA NUMBER - HOGAN'S PHARMACY

Laboratory Demographics

  • CLIA Code: 11D2153052
  • Facility Name: HOGAN'S PHARMACY
  • Facility Address: 2704 N OAK STREET, BLDG B - 1
    VALDOSTA, GA
    ZIP 31602
  • Facility Phone: 229 244-5353
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ADAM R. MOORE
  • NPI Number: 1891842944
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2153052
LAB Type Pharmacy
Facility Name HOGAN'S PHARMACY
Street 2704 N OAK STREET, BLDG B - 1
City VALDOSTA
State GA
ZIP 31602
Phone 229 244-5353
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2024
Certificate Expiration Date 8/21/2026
Facility Type Pharmacy
Lab Director ADAM R. MOORE

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