42D2248923 CLIA NUMBER - MEMORIAL PHARMACY

Laboratory Demographics

  • CLIA Code: 42D2248923
  • Facility Name: MEMORIAL PHARMACY
  • Facility Address: 100 B SIMPSON STREET
    GREENVILLE, SC
    ZIP 29605
  • Facility Phone: 864 729-8193
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SCOTT BOGGS
  • NPI Number: 1821141920
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2248923
LAB Type Pharmacy
Facility Name MEMORIAL PHARMACY
Street 100 B SIMPSON STREET
City GREENVILLE
State SC
ZIP 29605
Phone 864 729-8193
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2024
Certificate Expiration Date 1/17/2026
Facility Type Pharmacy
Lab Director SCOTT BOGGS

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