11D2326330 CLIA NUMBER - MEDICINE STOP II

Laboratory Demographics

  • CLIA Code: 11D2326330
  • Facility Name: MEDICINE STOP II
  • Facility Address: 212 N DOOLY STREET
    MONTEZUMA, GA
    ZIP 31063
  • Facility Phone: 478 316-6004
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TEJ PATEL
  • NPI Number: 1487336129
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2326330
LAB Type Pharmacy
Facility Name MEDICINE STOP II
Street 212 N DOOLY STREET
City MONTEZUMA
State GA
ZIP 31063
Phone 478 316-6004
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type Pharmacy
Lab Director TEJ PATEL

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