11D2216560 CLIA NUMBER - HOMER DRUGS, LLC

Laboratory Demographics

CLIA Number: 11D2216560

Facility Name: HOMER DRUGS, LLC

Facility Address:
1228 HISTORIC HOMER HIGHWAY
HOMER, GA
ZIP 30547
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Facility Phone Number: 706 677-3223

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1669440962

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	11D2216560
LAB Type	Pharmacy
Facility Name	HOMER DRUGS, LLC
Street	1228 HISTORIC HOMER HIGHWAY
City	HOMER
State	GA
ZIP	30547
Phone	706 677-3223
CertificateType	4
CertificateEffectiveDate	3/15/2023
CertificateExpirationDate	3/14/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024