34D2115711 CLIA NUMBER - MEDICAL VILLAGE PHARMACY

Laboratory Demographics

  • CLIA Code: 34D2115711
  • Facility Name: MEDICAL VILLAGE PHARMACY
  • Facility Address: 517 LAUCHWOOD DRIVE
    LAURINBURG, NC
    ZIP 28352
  • Facility Phone: 910 276-1154
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMES E. HERRING
  • NPI Number: 1053356360
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2115711
LAB Type Pharmacy
Facility Name MEDICAL VILLAGE PHARMACY
Street 517 LAUCHWOOD DRIVE
City LAURINBURG
State NC
ZIP 28352
Phone 910 276-1154
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2024
Certificate Expiration Date 7/11/2026
Facility Type Pharmacy
Lab Director JAMES E. HERRING

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