42D2182782 CLIA NUMBER - MED MART LEX, LLC

Laboratory Demographics

  • CLIA Code: 42D2182782
  • Facility Name: MED MART LEX, LLC
  • Facility Address: 348 COLUMBIA AVENUE
    LEXINGTON, SC
    ZIP 29072
  • Facility Phone: 803 957-5969
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL A. GLEATON
  • NPI Number: 1508447418
  • Taxonomy: 3336L0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 42D2182782
LAB Type Pharmacy
Facility Name MED MART LEX, LLC
Street 348 COLUMBIA AVENUE
City LEXINGTON
State SC
ZIP 29072
Phone 803 957-5969
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 MICHAEL A. GLEATON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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