11D2169539 CLIA NUMBER - FIVE POINTS PHARMACY

Laboratory Demographics

  • CLIA Code: 11D2169539
  • Facility Name: FIVE POINTS PHARMACY
  • Facility Address: 115 COMMERCIAL HGTS
    FORT VALLEY, GA
    ZIP 31030
  • Facility Phone: 478 822-0555
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JONATHAN B. O CONNER
  • NPI Number: 1447648159
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2169539
LAB Type Pharmacy
Facility Name FIVE POINTS PHARMACY
Street 115 COMMERCIAL HGTS
City FORT VALLEY
State GA
ZIP 31030
Phone 478 822-0555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2025
Certificate Expiration Date 7/22/2027
Facility Type Pharmacy
Lab Director JONATHAN B. O CONNER

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