34D2253521 CLIA NUMBER - PORT HEALTH SERVICES DBA PORT HEALTH PHARMACY

Laboratory Demographics

  • CLIA Code: 34D2253521
  • Facility Name: PORT HEALTH SERVICES DBA PORT HEALTH PHARMACY
  • Facility Address: 2602 COURTIER DRIVE
    GREENVILLE, NC
    ZIP 27834
  • Facility Phone: 252 672-2971
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ELIZABETH A. WUEST
  • NPI Number: 1225264138
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 34D2253521
LAB Type Pharmacy
Facility Name PORT HEALTH SERVICES DBA PORT HEALTH PHARMACY
Street 2602 COURTIER DRIVE
City GREENVILLE
State NC
ZIP 27834
Phone 252 672-2971
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2024
Certificate Expiration Date 2/21/2026
Facility Type Pharmacy
Lab Director ELIZABETH A. WUEST

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