42D1007239 CLIA NUMBER - YORKVILLE PHARMACY

Laboratory Demographics

  • CLIA Code: 42D1007239
  • Facility Name: YORKVILLE PHARMACY
  • Facility Address: 822-B EAST LIBERTY ST
    YORK, SC
    ZIP 29745
  • Facility Phone: 803 628-7934
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DEBORAH D. BOWERS
  • NPI Number: 1902802531
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D1007239
LAB Type Pharmacy
Facility Name YORKVILLE PHARMACY
Street 822-B EAST LIBERTY ST
City YORK
State SC
ZIP 29745
Phone 803 628-7934
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2024
Certificate Expiration Date 12/10/2026
Facility Type Pharmacy
Lab Director DEBORAH D. BOWERS

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