11D2246595 CLIA NUMBER - NAMASTE PHARMACY, LLC

Laboratory Demographics

  • CLIA Code: 11D2246595
  • Facility Name: NAMASTE PHARMACY, LLC
  • Facility Address: 4051 STONE MOUNTAIN HWY, SUITE D-101
    LILBURN, GA
    ZIP 30047
  • Facility Phone: 770 837-2625
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MANOJ PRADHAN
  • NPI Number: 1083186720
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2246595
LAB Type Pharmacy
Facility Name NAMASTE PHARMACY, LLC
Street 4051 STONE MOUNTAIN HWY, SUITE D-101
City LILBURN
State GA
ZIP 30047
Phone 770 837-2625
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2023
Certificate Expiration Date 12/27/2025
Facility Type Pharmacy
Lab Director MANOJ PRADHAN

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