42D2186414 CLIA NUMBER - TPC PHARMACY

Laboratory Demographics

  • CLIA Code: 42D2186414
  • Facility Name: TPC PHARMACY
  • Facility Address: 9275 A MEDICAL PLAZA DRIVE
    NORTH CHARLESTON, SC
    ZIP 29406
  • Facility Phone: 843 329-3019
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CRISTINA A. LUNNEN
  • NPI Number: 1699214718
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2186414
LAB Type Pharmacy
Facility Name TPC PHARMACY
Street 9275 A MEDICAL PLAZA DRIVE
City NORTH CHARLESTON
State SC
ZIP 29406
Phone 843 329-3019
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2024
Certificate Expiration Date 6/16/2026
Facility Type Pharmacy
Lab Director CRISTINA A. LUNNEN

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