42D2250252 CLIA NUMBER - THE PHARMACY CLUB, LLC

Laboratory Demographics

  • CLIA Code: 42D2250252
  • Facility Name: THE PHARMACY CLUB, LLC
  • Facility Address: 846 ST ANDREWS BLVD, SUITE A
    CHARLESTON, SC
    ZIP 29407
  • Facility Phone: 843 718-3738
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MORGAN ECHANIQUE
  • NPI Number: 1730843350
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2250252
LAB Type Pharmacy
Facility Name THE PHARMACY CLUB, LLC
Street 846 ST ANDREWS BLVD, SUITE A
City CHARLESTON
State SC
ZIP 29407
Phone 843 718-3738
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2024
Certificate Expiration Date 1/25/2026
Facility Type Pharmacy
Lab Director MORGAN ECHANIQUE

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