42D2182775 CLIA NUMBER - EUTAWVILLE PHARMACY, LLC

Laboratory Demographics

  • CLIA Code: 42D2182775
  • Facility Name: EUTAWVILLE PHARMACY, LLC
  • Facility Address: 226 PORCHER AVENUE
    EUTAWVILLE, SC
    ZIP 29048
  • Facility Phone: 843 761-5255
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STAN LAWHON
  • NPI Number: 1740438647
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2182775
LAB Type Pharmacy
Facility Name EUTAWVILLE PHARMACY, LLC
Street 226 PORCHER AVENUE
City EUTAWVILLE
State SC
ZIP 29048
Phone 843 761-5255
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2024
Certificate Expiration Date 4/26/2026
Facility Type Pharmacy
Lab Director STAN LAWHON

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