34D2232094 CLIA NUMBER - RED SPRINGS OLD MAIN PHARMACY

Laboratory Demographics

  • CLIA Code: 34D2232094
  • Facility Name: RED SPRINGS OLD MAIN PHARMACY
  • Facility Address: 300 SOUTH MAIN STREET
    RED SPRINGS, NC
    ZIP 28377
  • Facility Phone: 910 227-2425
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMBER N. LOCKLEAR
  • NPI Number: 1073962718
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2232094
LAB Type Pharmacy
Facility Name RED SPRINGS OLD MAIN PHARMACY
Street 300 SOUTH MAIN STREET
City RED SPRINGS
State NC
ZIP 28377
Phone 910 227-2425
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Pharmacy
Lab Director AMBER N. LOCKLEAR

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