34D2213604 CLIA NUMBER - PITTSBORO PHARMACY

Laboratory Demographics

  • CLIA Code: 34D2213604
  • Facility Name: PITTSBORO PHARMACY
  • Facility Address: 630 EAST STREET STE 13
    PITTSBORO, NC
    ZIP 27312
  • Facility Phone: 919 533-6901
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUNITA SURAPANENI
  • NPI Number: 1871100164
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2213604
LAB Type Pharmacy
Facility Name PITTSBORO PHARMACY
Street 630 EAST STREET STE 13
City PITTSBORO
State NC
ZIP 27312
Phone 919 533-6901
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/15/2025
Certificate Expiration Date 2/14/2027
Facility Type Pharmacy
Lab Director SUNITA SURAPANENI

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