42D2209489 CLIA NUMBER - PRUITTHEALTH PHARMACY SERVICES INC PRUITTHEALTH PHARMACY- LEXINGTON

Laboratory Demographics

  • CLIA Code: 42D2209489
  • Facility Name: PRUITTHEALTH PHARMACY SERVICES INC PRUITTHEALTH PHARMACY- LEXINGTON
  • Facility Address: 328 RIVERCHASE WAY, SUITES A & B
    LEXINGTON, SC
    ZIP 29072
  • Facility Phone: 803 739-4949
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WHITNEY WORKMAN
  • NPI Number: 1841237245
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2209489
LAB Type Pharmacy
Facility Name PRUITTHEALTH PHARMACY SERVICES INC PRUITTHEALTH PHARMACY- LEXINGTON
Street 328 RIVERCHASE WAY, SUITES A & B
City LEXINGTON
State SC
ZIP 29072
Phone 803 739-4949
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2025
Certificate Expiration Date 1/12/2027
Facility Type Pharmacy
Lab Director WHITNEY WORKMAN

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