11D2185318 CLIA NUMBER - MOYES PHARMACY

Laboratory Demographics

  • CLIA Code: 11D2185318
  • Facility Name: MOYES PHARMACY
  • Facility Address: 227 SOUTH MULBERRY STREET
    JACKSON, GA
    ZIP 30233
  • Facility Phone: 770 957-5561
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER L. LAMB
  • NPI Number: 1912409475
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2185318
LAB Type Pharmacy
Facility Name MOYES PHARMACY
Street 227 SOUTH MULBERRY STREET
City JACKSON
State GA
ZIP 30233
Phone 770 957-5561
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 L. LAMB

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