11D2208462 CLIA NUMBER - GMC PHARMACY

Laboratory Demographics

  • CLIA Code: 11D2208462
  • Facility Name: GMC PHARMACY
  • Facility Address: 3402 ALABAMA HIGHWAY
    ROME, GA
    ZIP 30165
  • Facility Phone: 706 234-7616
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID R. OZMENT
  • NPI Number: 1588778559
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2208462
LAB Type Pharmacy
Facility Name GMC PHARMACY
Street 3402 ALABAMA HIGHWAY
City ROME
State GA
ZIP 30165
Phone 706 234-7616
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2025
Certificate Expiration Date 1/5/2027
Facility Type Pharmacy
Lab Director DAVID R. OZMENT

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