34D0953562 CLIA NUMBER - BELMONT PHARMACY

Laboratory Demographics

  • CLIA Code: 34D0953562
  • Facility Name: BELMONT PHARMACY
  • Facility Address: 105 PROFESSIONAL DR
    REIDSVILLE, NC
    ZIP 27320
  • Facility Phone: 336 342-4221
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BOBBY N. PRUITT III
  • NPI Number: 1386634947
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D0953562
LAB Type Pharmacy
Facility Name BELMONT PHARMACY
Street 105 PROFESSIONAL DR
City REIDSVILLE
State NC
ZIP 27320
Phone 336 342-4221
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type Pharmacy
Lab Director BOBBY N. PRUITT III

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