34D2188878 CLIA NUMBER - GARNER 5TH AVENUE PHARMACY INC

Laboratory Demographics

  • CLIA Code: 34D2188878
  • Facility Name: GARNER 5TH AVENUE PHARMACY INC
  • Facility Address: 1315 FIFTH AVENUE
    GARNER, NC
    ZIP 27529
  • Facility Phone: 919 747-9482
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THOMAS H. BUNCH
  • NPI Number: 1154961290
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2188878
LAB Type Pharmacy
Facility Name GARNER 5TH AVENUE PHARMACY INC
Street 1315 FIFTH AVENUE
City GARNER
State NC
ZIP 27529
Phone 919 747-9482
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2024
Certificate Expiration Date 7/22/2026
Facility Type Pharmacy
Lab Director THOMAS H. BUNCH

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