11D2250716 CLIA NUMBER - COLLINS PROFESSIONAL SERVICES, LLC DBA COLLINS FAMILY PHARMACY

Laboratory Demographics

  • CLIA Code: 11D2250716
  • Facility Name: COLLINS PROFESSIONAL SERVICES, LLC DBA COLLINS FAMILY PHARMACY
  • Facility Address: 92 EAST BROAD STREET
    CAMILLA, GA
    ZIP 31730
  • Facility Phone: 229 522-3040
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTINE COLLINS
  • NPI Number: 1588251060
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2250716
LAB Type Pharmacy
Facility Name COLLINS PROFESSIONAL SERVICES, LLC DBA COLLINS FAMILY PHARMACY
Street 92 EAST BROAD STREET
City CAMILLA
State GA
ZIP 31730
Phone 229 522-3040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2024
Certificate Expiration Date 1/27/2026
Facility Type Pharmacy
Lab Director CHRISTINE COLLINS

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