34D2205768 CLIA NUMBER - MOUNTAIN STREET PHARMACY

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CLIA Record

Field Name Field Value
CLIA Number 34D2205768
LAB Type Pharmacy
Facility Name MOUNTAIN STREET PHARMACY
Street 709 WEST MOUNTAIN STREET
City KINGS MOUNTAIN
State NC
ZIP 28086
Phone 704 739-7225
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2024
Certificate Expiration Date 12/15/2026
Facility Type Pharmacy
Lab Director ALLAN M. PROPST

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