42D2145675 CLIA NUMBER - EHRHARDT PHARMACY, LLC

Laboratory Demographics

  • CLIA Code: 42D2145675
  • Facility Name: EHRHARDT PHARMACY, LLC
  • Facility Address: 12930 BROXTON BRIDGE ROAD
    EHRHARDT, SC
    ZIP 29081
  • Facility Phone: 803 267-2121
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DONNA G. AVANT
  • NPI Number: 1730652652
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2145675
LAB Type Pharmacy
Facility Name EHRHARDT PHARMACY, LLC
Street 12930 BROXTON BRIDGE ROAD
City EHRHARDT
State SC
ZIP 29081
Phone 803 267-2121
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2024
Certificate Expiration Date 3/12/2026
Facility Type Pharmacy
Lab Director DONNA G. AVANT

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