34D2277413 CLIA NUMBER - BANNER ELK PHARMACY

Laboratory Demographics

  • CLIA Code: 34D2277413
  • Facility Name: BANNER ELK PHARMACY
  • Facility Address: 110 PARK AVE
    BANNER ELK, NC
    ZIP 28604
  • Facility Phone: 828 898-4271
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BILLY J. KING
  • NPI Number: 1407898851
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2277413
LAB Type Pharmacy
Facility Name BANNER ELK PHARMACY
Street 110 PARK AVE
City BANNER ELK
State NC
ZIP 28604
Phone 828 898-4271
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2025
Certificate Expiration Date 2/26/2027
Facility Type Pharmacy
Lab Director BILLY J. KING

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