42D2204683 CLIA NUMBER - INDIAN LAND PHARMACY

Laboratory Demographics

  • CLIA Code: 42D2204683
  • Facility Name: INDIAN LAND PHARMACY
  • Facility Address: 8437 CHARLOTTE HWY
    INDIAN LAND, SC
    ZIP 29707
  • Facility Phone: 803 228-0268
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RONAK PATEL
  • NPI Number: 1306118583
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 42D2204683
LAB Type Pharmacy
Facility Name INDIAN LAND PHARMACY
Street 8437 CHARLOTTE HWY
City INDIAN LAND
State SC
ZIP 29707
Phone 803 228-0268
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2024
Certificate Expiration Date 12/9/2026
Facility Type Pharmacy
Lab Director RONAK PATEL

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