11D2199311 CLIA NUMBER - ARROWHEAD HEALTHMART PHARMACY

Laboratory Demographics

  • CLIA Code: 11D2199311
  • Facility Name: ARROWHEAD HEALTHMART PHARMACY
  • Facility Address: 188 UPPER RIVERDALE ROAD SUITE C
    JONESBORO, GA
    ZIP 30236
  • Facility Phone: 770 603-5555
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: OLA REFFELL
  • NPI Number: 1265587901
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2199311
LAB Type Pharmacy
Facility Name ARROWHEAD HEALTHMART PHARMACY
Street 188 UPPER RIVERDALE ROAD SUITE C
City JONESBORO
State GA
ZIP 30236
Phone 770 603-5555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2024
Certificate Expiration Date 11/5/2026
Facility Type Pharmacy
Lab Director OLA REFFELL

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