11D2249069 CLIA NUMBER - MORRIS DRUG COMPANY

Laboratory Demographics

  • CLIA Code: 11D2249069
  • Facility Name: MORRIS DRUG COMPANY
  • Facility Address: 646 NORTH MAIN STREET
    PEARSON, GA
    ZIP 31642
  • Facility Phone: 912 422-3631
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MATTHEW TANNER
  • NPI Number: 1417914102
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2249069
LAB Type Pharmacy
Facility Name MORRIS DRUG COMPANY
Street 646 NORTH MAIN STREET
City PEARSON
State GA
ZIP 31642
Phone 912 422-3631
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2024
Certificate Expiration Date 1/18/2026
Facility Type Pharmacy
Lab Director MATTHEW TANNER

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