34D2009983 CLIA NUMBER - MEDICAL PHARMACY OF ALBEMARLE INC

Laboratory Demographics

  • CLIA Code: 34D2009983
  • Facility Name: MEDICAL PHARMACY OF ALBEMARLE INC
  • Facility Address: 320 YADKIN STREET
    ALBEMARLE, NC
    ZIP 28001
  • Facility Phone: 704 982-9179
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANDY C. CASTELLOE
  • NPI Number: 1629175567
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2009983
LAB Type Pharmacy
Facility Name MEDICAL PHARMACY OF ALBEMARLE INC
Street 320 YADKIN STREET
City ALBEMARLE
State NC
ZIP 28001
Phone 704 982-9179
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2024
Certificate Expiration Date 7/18/2026
Facility Type Pharmacy
Lab Director ANDY C. CASTELLOE

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This page was last updated on: 6/4/2025