42D2206807 CLIA NUMBER - PATRICK SQUARE PHARMACY

Laboratory Demographics

  • CLIA Code: 42D2206807
  • Facility Name: PATRICK SQUARE PHARMACY
  • Facility Address: 143 THOMAS GREEN BLVD
    CLEMSON, SC
    ZIP 29631
  • Facility Phone: 864 999-2900
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINDSAY B. SPARKS
  • NPI Number: 1881117695
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2206807
LAB Type Pharmacy
Facility Name PATRICK SQUARE PHARMACY
Street 143 THOMAS GREEN BLVD
City CLEMSON
State SC
ZIP 29631
Phone 864 999-2900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2024
Certificate Expiration Date 12/21/2026
Facility Type Pharmacy
Lab Director LINDSAY B. SPARKS

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