34D2182034 CLIA NUMBER - PINEVILLE PHARMACY

Laboratory Demographics

  • CLIA Code: 34D2182034
  • Facility Name: PINEVILLE PHARMACY
  • Facility Address: 311 S POLK ST STE 80
    PINEVILLE, NC
    ZIP 28134
  • Facility Phone: 704 275-8791
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KISHAN PATEL
  • NPI Number: 1366900276
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2182034
LAB Type Pharmacy
Facility Name PINEVILLE PHARMACY
Street 311 S POLK ST STE 80
City PINEVILLE
State NC
ZIP 28134
Phone 704 275-8791
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2024
Certificate Expiration Date 4/14/2026
Facility Type Pharmacy
Lab Director KISHAN PATEL

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This page was last updated on: 3/20/2025