11D2237231 CLIA NUMBER - TOTAL CARE PHARMACY

Laboratory Demographics

  • CLIA Code: 11D2237231
  • Facility Name: TOTAL CARE PHARMACY
  • Facility Address: 149 EAST WALTON STREET
    BACONTON, GA
    ZIP 31716
  • Facility Phone: 229 787-5765
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TERESA L. MITCHELL
  • NPI Number: 1932571882
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2237231
LAB Type Pharmacy
Facility Name TOTAL CARE PHARMACY
Street 149 EAST WALTON STREET
City BACONTON
State GA
ZIP 31716
Phone 229 787-5765
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2023
Certificate Expiration Date 9/22/2025
Facility Type Pharmacy
Lab Director TERESA L. MITCHELL

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This page was last updated on: 3/20/2025