34D2181233 CLIA NUMBER - PERSON STREET PHARMACY

Laboratory Demographics

CLIA Number: 34D2181233

Facility Name: PERSON STREET PHARMACY

Facility Address:
702 N PERSON STREET
RALEIGH, NC
ZIP 27604
Get Directions

Facility Phone Number: 919 832-6432

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1053372342

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	34D2181233
LAB Type	Pharmacy
Facility Name	PERSON STREET PHARMACY
Street	702 N PERSON STREET
City	RALEIGH
State	NC
ZIP	27604
Phone	919 832-6432
CertificateType	4
CertificateEffectiveDate	3/30/2024
CertificateExpirationDate	3/29/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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