42D2182793 CLIA NUMBER - DANIELS PHARMACY OF BLACKVILLE

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CLIA Record

Field Name Field Value
CLIA Number 42D2182793
LAB Type Pharmacy
Facility Name DANIELS PHARMACY OF BLACKVILLE
Street 19354 SOLOMON BLATT AVE
City BLACKVILLE
State SC
ZIP 29817
Phone 803 284-3372
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 KYLE MCHUGH

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