34D2185128 CLIA NUMBER - BANNER DRUG OF HARMONY

Laboratory Demographics

  • CLIA Code: 34D2185128
  • Facility Name: BANNER DRUG OF HARMONY
  • Facility Address: 308-A MOCKSVILLE HWY
    STATESVILLE, NC
    ZIP 28625
  • Facility Phone: 704 546-5885
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MELINDA C. CHILDRESS
  • NPI Number: 1902357130
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2185128
LAB Type Pharmacy
Facility Name BANNER DRUG OF HARMONY
Street 308-A MOCKSVILLE HWY
City STATESVILLE
State NC
ZIP 28625
Phone 704 546-5885
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/29/2024
Certificate Expiration Date 5/28/2026
Facility Type Pharmacy
Lab Director MELINDA C. CHILDRESS

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