34D1054371 CLIA NUMBER - PIKE'S PHARMACY INC

Laboratory Demographics

  • CLIA Code: 34D1054371
  • Facility Name: PIKE'S PHARMACY INC
  • Facility Address: 2133 SHAMROCK DR
    CHARLOTTE, NC
    ZIP 28205
  • Facility Phone: 704 563-2286
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER L. KELLER
  • NPI Number: 1811990146
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D1054371
LAB Type Pharmacy
Facility Name PIKE'S PHARMACY INC
Street 2133 SHAMROCK DR
City CHARLOTTE
State NC
ZIP 28205
Phone 704 563-2286
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/18/2024
Certificate Expiration Date 5/17/2026
Facility Type Pharmacy
Lab Director JENNIFER L. KELLER

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