11D2185307 CLIA NUMBER - MOYES PHARMACY

Laboratory Demographics

CLIA Number: 11D2185307

Facility Name: MOYES PHARMACY

Facility Address:
34 EAST MAIN STREET SOUTH
HAMPTON, GA
ZIP 30228
Get Directions

Facility Phone Number: 770 946-5172

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1497772370

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	11D2185307
LAB Type	Pharmacy
Facility Name	MOYES PHARMACY
Street	34 EAST MAIN STREET SOUTH
City	HAMPTON
State	GA
ZIP	30228
Phone	770 946-5172
CertificateType	4
CertificateEffectiveDate	6/2/2022
CertificateExpirationDate	6/1/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024