11D2213437 CLIA NUMBER - ROSS DRUG INC

Laboratory Demographics

  • CLIA Code: 11D2213437
  • Facility Name: ROSS DRUG INC
  • Facility Address: 127 NORTH MAIN STREET
    SYLVANIA, GA
    ZIP 30467
  • Facility Phone: 912 964-7002
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JESSE A. UNDERWOOD
  • NPI Number: 1487759635
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 11D2213437
LAB Type Pharmacy
Facility Name ROSS DRUG INC
Street 127 NORTH MAIN STREET
City SYLVANIA
State GA
ZIP 30467
Phone 912 964-7002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2025
Certificate Expiration Date 2/11/2027
Facility Type Pharmacy
Lab Director JESSE A. UNDERWOOD

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