34D2198657 CLIA NUMBER - GALLOWAY SANDS PHARMACY

Laboratory Demographics

  • CLIA Code: 34D2198657
  • Facility Name: GALLOWAY SANDS PHARMACY
  • Facility Address: 58 PHYSICIANS DRIVE NORTHWEST SUITE 5
    SUPPLY, NC
    ZIP 28462
  • Facility Phone: 910 754-7200
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSEPH GALLOWAY
  • NPI Number: 1366488389
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2198657
LAB Type Pharmacy
Facility Name GALLOWAY SANDS PHARMACY
Street 58 PHYSICIANS DRIVE NORTHWEST SUITE 5
City SUPPLY
State NC
ZIP 28462
Phone 910 754-7200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2024
Certificate Expiration Date 11/2/2026
Facility Type Pharmacy
Lab Director JOSEPH GALLOWAY

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