11D2155675 CLIA NUMBER - ADAMS DRUG STORE

Laboratory Demographics

  • CLIA Code: 11D2155675
  • Facility Name: ADAMS DRUG STORE
  • Facility Address: 408 E 16TH AVENUE, SUITE B
    CORDELE, GA
    ZIP 31015
  • Facility Phone: 229 273-3433
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JONATHAN L. SINYARD
  • NPI Number: 1104950815
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2155675
LAB Type Pharmacy
Facility Name ADAMS DRUG STORE
Street 408 E 16TH AVENUE, SUITE B
City CORDELE
State GA
ZIP 31015
Phone 229 273-3433
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2024
Certificate Expiration Date 10/2/2026
Facility Type Pharmacy
Lab Director JONATHAN L. SINYARD

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