11D2248514 CLIA NUMBER - CLAYTON PHARMACY

Laboratory Demographics

  • CLIA Code: 11D2248514
  • Facility Name: CLAYTON PHARMACY
  • Facility Address: 503 ALABAMA AVENUE, S
    BREMEN, GA
    ZIP 30110
  • Facility Phone: 770 537-2321
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LEROY H. STRICKLAND
  • NPI Number: 1629165840
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2248514
LAB Type Pharmacy
Facility Name CLAYTON PHARMACY
Street 503 ALABAMA AVENUE, S
City BREMEN
State GA
ZIP 30110
Phone 770 537-2321
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2024
Certificate Expiration Date 1/12/2026
Facility Type Pharmacy
Lab Director LEROY H. STRICKLAND

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