34D2240799 CLIA NUMBER - PINETOPS PHARMACY

Laboratory Demographics

  • CLIA Code: 34D2240799
  • Facility Name: PINETOPS PHARMACY
  • Facility Address: 102 W HAMLET ST
    PINETOPS, NC
    ZIP 27864
  • Facility Phone: 252 250-3910
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TRAVIS C. DUBOIS
  • NPI Number: 1912516287
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2240799
LAB Type Pharmacy
Facility Name PINETOPS PHARMACY
Street 102 W HAMLET ST
City PINETOPS
State NC
ZIP 27864
Phone 252 250-3910
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2023
Certificate Expiration Date 10/21/2025
Facility Type Pharmacy
Lab Director TRAVIS C. DUBOIS

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