11D2255809 CLIA NUMBER - BARNEYS PHARMACY

Laboratory Demographics

  • CLIA Code: 11D2255809
  • Facility Name: BARNEYS PHARMACY
  • Facility Address: 1684 WASHINGTON ROAD
    THOMSON, GA
    ZIP 30824
  • Facility Phone: 706 690-3215
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANGELA N. STADLER
  • NPI Number: 1871265421
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2255809
LAB Type Pharmacy
Facility Name BARNEYS PHARMACY
Street 1684 WASHINGTON ROAD
City THOMSON
State GA
ZIP 30824
Phone 706 690-3215
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2024
Certificate Expiration Date 3/16/2026
Facility Type Pharmacy
Lab Director ANGELA N. STADLER

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