34D2187929 CLIA NUMBER - FIVE POINTS PHARMA, LLC DBA MEDICAL VILLAGE PHARMACY

Laboratory Demographics

  • CLIA Code: 34D2187929
  • Facility Name: FIVE POINTS PHARMA, LLC DBA MEDICAL VILLAGE PHARMACY
  • Facility Address: 815 FARGROVE CHURCH ROAD SE
    CONOVER, NC
    ZIP 28613
  • Facility Phone: 828 322-4505
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KELLY H. CROSS
  • NPI Number: 1639535156
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2187929
LAB Type Pharmacy
Facility Name FIVE POINTS PHARMA, LLC DBA MEDICAL VILLAGE PHARMACY
Street 815 FARGROVE CHURCH ROAD SE
City CONOVER
State NC
ZIP 28613
Phone 828 322-4505
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2024
Certificate Expiration Date 7/9/2026
Facility Type Pharmacy
Lab Director KELLY H. CROSS

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