11D2251018 CLIA NUMBER - MAGNOLIA PHARMACY

Laboratory Demographics

  • CLIA Code: 11D2251018
  • Facility Name: MAGNOLIA PHARMACY
  • Facility Address: 4626 BATTLEFIELD PARKWAY
    RINGGOLD, GA
    ZIP 30736
  • Facility Phone: 706 841-0444
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DUSTIN A. BEARD
  • NPI Number: 1770188849
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2251018
LAB Type Pharmacy
Facility Name MAGNOLIA PHARMACY
Street 4626 BATTLEFIELD PARKWAY
City RINGGOLD
State GA
ZIP 30736
Phone 706 841-0444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2024
Certificate Expiration Date 1/30/2026
Facility Type Pharmacy
Lab Director DUSTIN A. BEARD

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