34D2272860 CLIA NUMBER - GPN EXPRESS ENTERPRISE, LLC DBA VILLAGE PHARMACY

Laboratory Demographics

  • CLIA Code: 34D2272860
  • Facility Name: GPN EXPRESS ENTERPRISE, LLC DBA VILLAGE PHARMACY
  • Facility Address: 14057 HIGHWAY 17 SUITE 100
    HAMPSTEAD, NC
    ZIP 28443
  • Facility Phone: 910 319-6050
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NHATQUY T. TRINH
  • NPI Number: 1609024595
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2272860
LAB Type Pharmacy
Facility Name GPN EXPRESS ENTERPRISE, LLC DBA VILLAGE PHARMACY
Street 14057 HIGHWAY 17 SUITE 100
City HAMPSTEAD
State NC
ZIP 28443
Phone 910 319-6050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2024
Certificate Expiration Date 11/30/2026
Facility Type Pharmacy
Lab Director NHATQUY T. TRINH

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