42D2233029 CLIA NUMBER - GREAT FALLS PHARMACY

Laboratory Demographics

  • CLIA Code: 42D2233029
  • Facility Name: GREAT FALLS PHARMACY
  • Facility Address: 503 CHESTER AVE SUITE A
    GREAT FALLS, SC
    ZIP 29055
  • Facility Phone: 803 482-2249
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRIS KENNINGTON
  • NPI Number: 1487682878
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2233029
LAB Type Pharmacy
Facility Name GREAT FALLS PHARMACY
Street 503 CHESTER AVE SUITE A
City GREAT FALLS
State SC
ZIP 29055
Phone 803 482-2249
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2025
Certificate Expiration Date 8/18/2027
Facility Type Pharmacy
Lab Director CHRIS KENNINGTON

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