42D2188916 CLIA NUMBER - MY PHARMACY

Laboratory Demographics

CLIA Number: 42D2188916

Facility Name: MY PHARMACY

Facility Address:
808 HWY 378, STE B
LEXINGTON, SC
ZIP 29072
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Facility Phone Number: 803 756-3460

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1043858996

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	42D2188916
LAB Type	Pharmacy
Facility Name	MY PHARMACY
Street	808 HWY 378, STE B
City	LEXINGTON
State	SC
ZIP	29072
Phone	803 756-3460
CertificateType	4
CertificateEffectiveDate	7/19/2022
CertificateExpirationDate	7/18/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024