42D2183322 CLIA NUMBER - HAWTHORNE PHARMACY, INC

Laboratory Demographics

  • CLIA Code: 42D2183322
  • Facility Name: HAWTHORNE PHARMACY, INC
  • Facility Address: 1520A TAYLOR STREET
    COLUMBIA, SC
    ZIP 29201
  • Facility Phone: 803 256-3440
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTIE S. CASSIDY
  • NPI Number: 1891704672
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2183322
LAB Type Pharmacy
Facility Name HAWTHORNE PHARMACY, INC
Street 1520A TAYLOR STREET
City COLUMBIA
State SC
ZIP 29201
Phone 803 256-3440
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2024
Certificate Expiration Date 5/3/2026
Facility Type Pharmacy
Lab Director KRISTIE S. CASSIDY

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