11D2185653 CLIA NUMBER - NORCROSS PHARMACY

Laboratory Demographics

  • CLIA Code: 11D2185653
  • Facility Name: NORCROSS PHARMACY
  • Facility Address: 2625 BEAVER RUIN ROAD
    NORCROSS, GA
    ZIP 30071
  • Facility Phone: 770 448-2288
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GERALDINE HANKLA
  • NPI Number: 1447316682
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2185653
LAB Type Pharmacy
Facility Name NORCROSS PHARMACY
Street 2625 BEAVER RUIN ROAD
City NORCROSS
State GA
ZIP 30071
Phone 770 448-2288
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2024
Certificate Expiration Date 6/7/2026
Facility Type Pharmacy
Lab Director GERALDINE HANKLA

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