34D2201382 CLIA NUMBER - HALSEY DRUG LLC

Laboratory Demographics

  • CLIA Code: 34D2201382
  • Facility Name: HALSEY DRUG LLC
  • Facility Address: 55 SOUTH MAIN STREET
    SPARTA, NC
    ZIP 28675
  • Facility Phone: 336 372-6699
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: COREY D. FURMAN
  • NPI Number: 1457465437
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2201382
LAB Type Pharmacy
Facility Name HALSEY DRUG LLC
Street 55 SOUTH MAIN STREET
City SPARTA
State NC
ZIP 28675
Phone 336 372-6699
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2024
Certificate Expiration Date 11/19/2026
Facility Type Pharmacy
Lab Director COREY D. FURMAN

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