11D2255809 CLIA NUMBER - BARNEYS PHARMACY

Laboratory Demographics

CLIA Number: 11D2255809

Facility Name: BARNEYS PHARMACY

Facility Address:
1684 WASHINGTON ROAD
THOMSON, GA
ZIP 30824
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Facility Phone Number: 706 690-3215

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1871265421

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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
CertificateType	4
CertificateEffectiveDate	3/17/2024
CertificateExpirationDate	3/16/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024