11D2210667 CLIA NUMBER - HOLMES PHARMACY AT HAMILTON

Laboratory Demographics

  • CLIA Code: 11D2210667
  • Facility Name: HOLMES PHARMACY AT HAMILTON
  • Facility Address: 141 NORTH COLLEGE STREET
    HAMILTON, GA
    ZIP 31811
  • Facility Phone: 706 628-9995
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PERRY PRATHER
  • NPI Number: 1588679468
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2210667
LAB Type Pharmacy
Facility Name HOLMES PHARMACY AT HAMILTON
Street 141 NORTH COLLEGE STREET
City HAMILTON
State GA
ZIP 31811
Phone 706 628-9995
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2025
Certificate Expiration Date 1/21/2027
Facility Type Pharmacy
Lab Director PERRY PRATHER

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