11D2190359 CLIA NUMBER - PALLIATIVE PHARMACY SOLUTIONS INC

Laboratory Demographics

  • CLIA Code: 11D2190359
  • Facility Name: PALLIATIVE PHARMACY SOLUTIONS INC
  • Facility Address: 2338 MAIN STREET
    TUCKER, GA
    ZIP 30084
  • Facility Phone: (770) 934-2976
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: JONATHAN D. CARR
  • NPI Number: 1679602452
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2190359
LAB Type Community Clinic
Facility Name PALLIATIVE PHARMACY SOLUTIONS INC
Street 2338 MAIN STREET
City TUCKER
State GA
ZIP 30084
Phone 7709342976
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2024
Certificate Expiration Date 8/12/2026
Facility Type Community Clinic
Lab Director JONATHAN D. CARR

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This page was last updated on: 5/18/2026