34D2141534 CLIA NUMBER - GALLOWAY - SANDS PHARMACY

Laboratory Demographics

  • CLIA Code: 34D2141534
  • Facility Name: GALLOWAY - SANDS PHARMACY
  • Facility Address: 1513 N HOWE ST, SUITE 8
    SOUTHPORT, NC
    ZIP 28461
  • Facility Phone: 910 454-9090
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KEVIN W. SANDS
  • NPI Number: 1427474881
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2141534
LAB Type Pharmacy
Facility Name GALLOWAY - SANDS PHARMACY
Street 1513 N HOWE ST, SUITE 8
City SOUTHPORT
State NC
ZIP 28461
Phone 910 454-9090
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2023
Certificate Expiration Date 12/14/2025
Facility Type Pharmacy
Lab Director KEVIN W. SANDS

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