34D2235772 CLIA NUMBER - JORDON BAKER ACQUISTIONS DBA ROAN MOUNTAIN PHARMACY OF BAKERSVILLE

Laboratory Demographics

  • CLIA Code: 34D2235772
  • Facility Name: JORDON BAKER ACQUISTIONS DBA ROAN MOUNTAIN PHARMACY OF BAKERSVILLE
  • Facility Address: 604 SOUTH HIGHWAY 226
    BAKERSVILLE, NC
    ZIP 28705
  • Facility Phone: 828 820-8058
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANTHONY L. HUDSON
  • NPI Number: 1336747872
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2235772
LAB Type Pharmacy
Facility Name JORDON BAKER ACQUISTIONS DBA ROAN MOUNTAIN PHARMACY OF BAKERSVILLE
Street 604 SOUTH HIGHWAY 226
City BAKERSVILLE
State NC
ZIP 28705
Phone 828 820-8058
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2025
Certificate Expiration Date 9/12/2027
Facility Type Pharmacy
Lab Director ANTHONY L. HUDSON

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