42D0945618 CLIA NUMBER - MOBLEY DRUGS INC

Laboratory Demographics

CLIA Number: 42D0945618

Facility Name: MOBLEY DRUGS INC

Facility Address:
1073 WEST MEETING STREET
LANCASTER, SC
ZIP 29720
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Facility Phone Number: 803 285-2021

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1912016593

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	42D0945618
LAB Type	Pharmacy
Facility Name	MOBLEY DRUGS INC
Street	1073 WEST MEETING STREET
City	LANCASTER
State	SC
ZIP	29720
Phone	803 285-2021
CertificateType	4
CertificateEffectiveDate	7/16/2022
CertificateExpirationDate	7/15/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024