11D2185316 CLIA NUMBER - MOYES PHARMACY

Laboratory Demographics

  • CLIA Code: 11D2185316
  • Facility Name: MOYES PHARMACY
  • Facility Address: 4467 NORTH HENRY BOULEVARD
    STOCKBRIDGE, GA
    ZIP 30281
  • Facility Phone: 770 474-0704
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER LAMB
  • NPI Number: 1881035582
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 11D2185316
LAB Type Pharmacy
Facility Name MOYES PHARMACY
Street 4467 NORTH HENRY BOULEVARD
City STOCKBRIDGE
State GA
ZIP 30281
Phone 770 474-0704
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