11D2189571 CLIA NUMBER - LEECH PHARMACY, LLC

Laboratory Demographics

  • CLIA Code: 11D2189571
  • Facility Name: LEECH PHARMACY, LLC
  • Facility Address: 18 CAVENDER STREET
    NEWNAN, GA
    ZIP 30263
  • Facility Phone: 770 253-1622
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARGARET M. LEECH
  • NPI Number: 1609412584
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2189571
LAB Type Pharmacy
Facility Name LEECH PHARMACY, LLC
Street 18 CAVENDER STREET
City NEWNAN
State GA
ZIP 30263
Phone 770 253-1622
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2024
Certificate Expiration Date 8/2/2026
Facility Type Pharmacy
Lab Director MARGARET M. LEECH

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