42D2265567 CLIA NUMBER - PARK CIRCLE PHARMACY

Laboratory Demographics

  • CLIA Code: 42D2265567
  • Facility Name: PARK CIRCLE PHARMACY
  • Facility Address: 4412 SPRUILL AVENUE, UNIT C
    NORTH CHARLESTON, SC
    ZIP 29405
  • Facility Phone: 843 251-5694
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VISHAL PATEL
  • NPI Number: 1972233807
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2265567
LAB Type Pharmacy
Facility Name PARK CIRCLE PHARMACY
Street 4412 SPRUILL AVENUE, UNIT C
City NORTH CHARLESTON
State SC
ZIP 29405
Phone 843 251-5694
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2024
Certificate Expiration Date 7/28/2026
Facility Type Pharmacy
Lab Director VISHAL PATEL

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