34D2183790 CLIA NUMBER - EAST BURKE PHARMACY

Laboratory Demographics

CLIA Number: 34D2183790

Facility Name: EAST BURKE PHARMACY

Facility Address:
300 MAIN AVE WEST
HILDEBRAN, NC
ZIP 28637
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Facility Phone Number: 828 397-3420

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1861500118

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	34D2183790
LAB Type	Pharmacy
Facility Name	EAST BURKE PHARMACY
Street	300 MAIN AVE WEST
City	HILDEBRAN
State	NC
ZIP	28637
Phone	828 397-3420
CertificateType	4
CertificateEffectiveDate	5/11/2024
CertificateExpirationDate	5/10/2026
FacilityType	Waiver

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