11D2183522 CLIA NUMBER - HYER APOTHECARY LLC DBA KINGS HOMETOWN PHARMACY

Laboratory Demographics

  • CLIA Code: 11D2183522
  • Facility Name: HYER APOTHECARY LLC DBA KINGS HOMETOWN PHARMACY
  • Facility Address: 214 YOUNG HARRIS STREET SUITE A
    BLAIRSVILLE, GA
    ZIP 30512
  • Facility Phone: 706 400-5043
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOHN HYER
  • NPI Number: 1912492091
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2183522
LAB Type Pharmacy
Facility Name HYER APOTHECARY LLC DBA KINGS HOMETOWN PHARMACY
Street 214 YOUNG HARRIS STREET SUITE A
City BLAIRSVILLE
State GA
ZIP 30512
Phone 706 400-5043
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/6/2024
Certificate Expiration Date 5/5/2026
Facility Type Pharmacy
Lab Director JOHN HYER

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