11D2160334 CLIA NUMBER - CANDLER PHARMACY, PC

Laboratory Demographics

  • CLIA Code: 11D2160334
  • Facility Name: CANDLER PHARMACY, PC
  • Facility Address: 639 SOUTH LEWIS STREET
    METTER, GA
    ZIP 30439
  • Facility Phone: 912 685-2008
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOHN ROBERT BOWEN JR
  • NPI Number: 1093809964
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2160334
LAB Type Pharmacy
Facility Name CANDLER PHARMACY, PC
Street 639 SOUTH LEWIS STREET
City METTER
State GA
ZIP 30439
Phone 912 685-2008
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2025
Certificate Expiration Date 1/8/2027
Facility Type Pharmacy
Lab Director JOHN ROBERT BOWEN JR

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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