34D1076656 CLIA NUMBER - TABLEROCK PHARMACY

Laboratory Demographics

  • CLIA Code: 34D1076656
  • Facility Name: TABLEROCK PHARMACY
  • Facility Address: 200 WEST FLEMING DRIVE
    MORGANTON, NC
    ZIP 28655
  • Facility Phone: 828 438-9355
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JESSICA STOUT
  • NPI Number: 1710214754
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D1076656
LAB Type Pharmacy
Facility Name TABLEROCK PHARMACY
Street 200 WEST FLEMING DRIVE
City MORGANTON
State NC
ZIP 28655
Phone 828 438-9355
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2023
Certificate Expiration Date 11/18/2025
Facility Type Pharmacy
Lab Director JESSICA STOUT

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