34D2227638 CLIA NUMBER - COASTAL PHARMACY AND COMPOUNDING DBA KINGS PHARMACY AND COMPOUNDING

Laboratory Demographics

  • CLIA Code: 34D2227638
  • Facility Name: COASTAL PHARMACY AND COMPOUNDING DBA KINGS PHARMACY AND COMPOUNDING
  • Facility Address: 2231 S COLLEGE RD
    WILMINGTON, NC
    ZIP 28403
  • Facility Phone: 910 452-7098
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROY P. MARTIN
  • NPI Number: 1215553508
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2227638
LAB Type Pharmacy
Facility Name COASTAL PHARMACY AND COMPOUNDING DBA KINGS PHARMACY AND COMPOUNDING
Street 2231 S COLLEGE RD
City WILMINGTON
State NC
ZIP 28403
Phone 910 452-7098
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2025
Certificate Expiration Date 6/14/2027
Facility Type Pharmacy
Lab Director ROY P. MARTIN

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