34D2247959 CLIA NUMBER - SOUTHPOINT PHARMACY

Laboratory Demographics

  • CLIA Code: 34D2247959
  • Facility Name: SOUTHPOINT PHARMACY
  • Facility Address: 6216 FAYETTEVILLE RD SUITE 105
    DURHAM, NC
    ZIP 27713
  • Facility Phone: 919 908-0200
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PRASANA P. BAFANA
  • NPI Number: 1477039253
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2247959
LAB Type Pharmacy
Facility Name SOUTHPOINT PHARMACY
Street 6216 FAYETTEVILLE RD SUITE 105
City DURHAM
State NC
ZIP 27713
Phone 919 908-0200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2024
Certificate Expiration Date 1/10/2026
Facility Type Pharmacy
Lab Director PRASANA P. BAFANA

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