11D2214069 CLIA NUMBER - FORDS PHARMACY

Laboratory Demographics

  • CLIA Code: 11D2214069
  • Facility Name: FORDS PHARMACY
  • Facility Address: 7441 ADAIRSVILLE HIGHWAY
    ADAIRSVILLE, GA
    ZIP 30103
  • Facility Phone: 770 733-1800
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHELLE FORD
  • NPI Number: 1104132521
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2214069
LAB Type Pharmacy
Facility Name FORDS PHARMACY
Street 7441 ADAIRSVILLE HIGHWAY
City ADAIRSVILLE
State GA
ZIP 30103
Phone 770 733-1800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/18/2025
Certificate Expiration Date 2/17/2027
Facility Type Pharmacy
Lab Director MICHELLE FORD

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