34D2206125 CLIA NUMBER - BLSRPH, INC DBA VILLAGE PRESCRIPTION CENTER

Laboratory Demographics

  • CLIA Code: 34D2206125
  • Facility Name: BLSRPH, INC DBA VILLAGE PRESCRIPTION CENTER
  • Facility Address: 108 E OLD HIGHWAY 74/76
    LAKE WACCAMAW, NC
    ZIP 28450
  • Facility Phone: 910 646-3435
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BENJAMIN L. SAULS
  • NPI Number: 1285172197
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2206125
LAB Type Pharmacy
Facility Name BLSRPH, INC DBA VILLAGE PRESCRIPTION CENTER
Street 108 E OLD HIGHWAY 74/76
City LAKE WACCAMAW
State NC
ZIP 28450
Phone 910 646-3435
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2024
Certificate Expiration Date 12/16/2026
Facility Type Pharmacy
Lab Director BENJAMIN L. SAULS

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