11D2240688 CLIA NUMBER - BENZER PHARMACY ATHENS

Laboratory Demographics

  • CLIA Code: 11D2240688
  • Facility Name: BENZER PHARMACY ATHENS
  • Facility Address: 484 NORTH AVENUE
    ATHENS, GA
    ZIP 30601
  • Facility Phone: 706 510-4040
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DONALD E. BESS
  • NPI Number: 1144761925
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2240688
LAB Type Pharmacy
Facility Name BENZER PHARMACY ATHENS
Street 484 NORTH AVENUE
City ATHENS
State GA
ZIP 30601
Phone 706 510-4040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2023
Certificate Expiration Date 10/20/2025
Facility Type Pharmacy
Lab Director DONALD E. BESS

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