42D2211741 CLIA NUMBER - BESTRX PHARMACY (MUKTA LLC)

Laboratory Demographics

  • CLIA Code: 42D2211741
  • Facility Name: BESTRX PHARMACY (MUKTA LLC)
  • Facility Address: 1103 N MAIN STREET STE E
    FOUNTAIN INN, SC
    ZIP 29644
  • Facility Phone: 864 210-1811
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ASHISH B. PATEL
  • NPI Number: 1790210839
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2211741
LAB Type Pharmacy
Facility Name BESTRX PHARMACY (MUKTA LLC)
Street 1103 N MAIN STREET STE E
City FOUNTAIN INN
State SC
ZIP 29644
Phone 864 210-1811
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2025
Certificate Expiration Date 1/28/2027
Facility Type Pharmacy
Lab Director ASHISH B. PATEL

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