34D1101239 CLIA NUMBER - MOSS DRUGS

Laboratory Demographics

CLIA Number: 34D1101239

Facility Name: MOSS DRUGS

Facility Address:
701 W FRANKLIN BLVD
GASTONIA, NC
ZIP 28052
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Facility Phone Number: 704 867-9611

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1295855799

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	34D1101239
LAB Type	Pharmacy
Facility Name	MOSS DRUGS
Street	701 W FRANKLIN BLVD
City	GASTONIA
State	NC
ZIP	28052
Phone	704 867-9611
CertificateType	4
CertificateEffectiveDate	9/5/2023
CertificateExpirationDate	9/4/2025
FacilityType	Waiver

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