11D2185314 CLIA NUMBER - MOYES PHARMACY

Laboratory Demographics

  • CLIA Code: 11D2185314
  • Facility Name: MOYES PHARMACY
  • Facility Address: 3798 HIGHWAY 42 SOUTH
    LOCUST GROVE, GA
    ZIP 30248
  • Facility Phone: 770 957-6004
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER LAMB
  • NPI Number: 1477570364
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2185314
LAB Type Pharmacy
Facility Name MOYES PHARMACY
Street 3798 HIGHWAY 42 SOUTH
City LOCUST GROVE
State GA
ZIP 30248
Phone 770 957-6004
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2024
Certificate Expiration Date 6/1/2026
Facility Type Pharmacy
Lab Director JENNIFER LAMB

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