34D2182235 CLIA NUMBER - CAROLINA MOUNTAIN PHARMACY

Laboratory Demographics

  • CLIA Code: 34D2182235
  • Facility Name: CAROLINA MOUNTAIN PHARMACY
  • Facility Address: 7 PISGAH HIGHWAY, SUITE 100
    CANDLER, NC
    ZIP 28715
  • Facility Phone: 828 633-6700
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JARED M. MATTSON
  • NPI Number: 1215318209
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2182235
LAB Type Pharmacy
Facility Name CAROLINA MOUNTAIN PHARMACY
Street 7 PISGAH HIGHWAY, SUITE 100
City CANDLER
State NC
ZIP 28715
Phone 828 633-6700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2024
Certificate Expiration Date 4/16/2026
Facility Type Pharmacy
Lab Director JARED M. MATTSON

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