42D2251425 CLIA NUMBER - HUB CITY PHARMACY

Laboratory Demographics

  • CLIA Code: 42D2251425
  • Facility Name: HUB CITY PHARMACY
  • Facility Address: 1735 JOHN B WHITE SR BLVD, SUITE 8
    SPARTANBURG, SC
    ZIP 29301
  • Facility Phone: (864) 586-3886
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PRADEEP KOMARNENI
  • NPI Number: 1063915643
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 42D2251425
LAB Type Pharmacy
Facility Name HUB CITY PHARMACY
Street 1735 JOHN B WHITE SR BLVD, SUITE 8
City SPARTANBURG
State SC
ZIP 29301
Phone 8645863886
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/3/2026
Certificate Expiration Date 2/2/2028
Facility Type Pharmacy
Lab Director PRADEEP KOMARNENI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/15/2026