11D2212814 CLIA NUMBER - CENTRAL PHARMACY

Laboratory Demographics

  • CLIA Code: 11D2212814
  • Facility Name: CENTRAL PHARMACY
  • Facility Address: 703 N VETERANS BOULEVARD
    GLENNVILLE, GA
    ZIP 30427
  • Facility Phone: 912 654-3031
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHELLE L. GLISSON
  • NPI Number: 1215942925
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2212814
LAB Type Pharmacy
Facility Name CENTRAL PHARMACY
Street 703 N VETERANS BOULEVARD
City GLENNVILLE
State GA
ZIP 30427
Phone 912 654-3031
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2025
Certificate Expiration Date 2/7/2027
Facility Type Pharmacy
Lab Director MICHELLE L. GLISSON

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