11D2216560 CLIA NUMBER - HOMER DRUGS, LLC

Laboratory Demographics

  • CLIA Code: 11D2216560
  • Facility Name: HOMER DRUGS, LLC
  • Facility Address: 1228 HISTORIC HOMER HIGHWAY
    HOMER, GA
    ZIP 30547
  • Facility Phone: 706 677-3223
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EDWIN SELF
  • NPI Number: 1669440962
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2025
Certificate Expiration Date 3/14/2027
Facility Type Pharmacy
Lab Director EDWIN SELF

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