34D1102919 CLIA NUMBER - CANNON PHARMACY

Laboratory Demographics

  • CLIA Code: 34D1102919
  • Facility Name: CANNON PHARMACY
  • Facility Address: 1402 N CANNON BLVD
    KANNAPOLIS, NC
    ZIP 28083
  • Facility Phone: 704 933-7948
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRYAN FITZPATRICK
  • NPI Number: 1730358896
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D1102919
LAB Type Pharmacy
Facility Name CANNON PHARMACY
Street 1402 N CANNON BLVD
City KANNAPOLIS
State NC
ZIP 28083
Phone 704 933-7948
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2025
Certificate Expiration Date 7/28/2027
Facility Type Pharmacy
Lab Director BRYAN FITZPATRICK

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