11D2188956 CLIA NUMBER - RAINES PHARMACY, INC

Laboratory Demographics

  • CLIA Code: 11D2188956
  • Facility Name: RAINES PHARMACY, INC
  • Facility Address: 346 E WASHINGTON AVENUE
    ASHBURN, GA
    ZIP 31714
  • Facility Phone: 229 567-2515
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER BROWN
  • NPI Number: 1225178650
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2188956
LAB Type Pharmacy
Facility Name RAINES PHARMACY, INC
Street 346 E WASHINGTON AVENUE
City ASHBURN
State GA
ZIP 31714
Phone 229 567-2515
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/24/2024
Certificate Expiration Date 7/23/2026
Facility Type Pharmacy
Lab Director CHRISTOPHER BROWN

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