42D2246696 CLIA NUMBER - MOSS COMPOUNDING PHARMACY LLC

Laboratory Demographics

  • CLIA Code: 42D2246696
  • Facility Name: MOSS COMPOUNDING PHARMACY LLC
  • Facility Address: 2500 HOFFMEYER ROAD, UNIT B
    FLORENCE, SC
    ZIP 29501
  • Facility Phone: 843 665-0289
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRYAN ZIEGLER
  • NPI Number: 1134668395
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2246696
LAB Type Pharmacy
Facility Name MOSS COMPOUNDING PHARMACY LLC
Street 2500 HOFFMEYER ROAD, UNIT B
City FLORENCE
State SC
ZIP 29501
Phone 843 665-0289
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/29/2023
Certificate Expiration Date 12/28/2025
Facility Type Pharmacy
Lab Director BRYAN ZIEGLER

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