42D2183306 CLIA NUMBER - HIBBITTS DRUG CO, LLC

Laboratory Demographics

  • CLIA Code: 42D2183306
  • Facility Name: HIBBITTS DRUG CO, LLC
  • Facility Address: 735 NORTH MAIN STREET
    NEW ELLENTON, SC
    ZIP 29809
  • Facility Phone: (803) 443-0077
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMY Y. HIBBITTS
  • NPI Number: 1205226495
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2183306
LAB Type Pharmacy
Facility Name HIBBITTS DRUG CO, LLC
Street 735 NORTH MAIN STREET
City NEW ELLENTON
State SC
ZIP 29809
Phone 8034430077
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2026
Certificate Expiration Date 5/3/2028
Facility Type Pharmacy
Lab Director AMY Y. HIBBITTS

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This page was last updated on: 5/18/2026