11D2155056 CLIA NUMBER - DRUGBUDDIES PHARMACY

Laboratory Demographics

  • CLIA Code: 11D2155056
  • Facility Name: DRUGBUDDIES PHARMACY
  • Facility Address: 6457 TARA BLVD, SUITE 7
    JONESBORO, GA
    ZIP 30236
  • Facility Phone: 678 519-2030
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: FABIAN AGBONJIAZOE
  • NPI Number: 1932612991
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2155056
LAB Type Pharmacy
Facility Name DRUGBUDDIES PHARMACY
Street 6457 TARA BLVD, SUITE 7
City JONESBORO
State GA
ZIP 30236
Phone 678 519-2030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2024
Certificate Expiration Date 9/23/2026
Facility Type Pharmacy
Lab Director FABIAN AGBONJIAZOE

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