42D2290638 CLIA NUMBER - MEDCARE PHARMACY

Laboratory Demographics

  • CLIA Code: 42D2290638
  • Facility Name: MEDCARE PHARMACY
  • Facility Address: 723 BETHEL STREET
    CLOVER, SC
    ZIP 29710
  • Facility Phone: 803 222-6060
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOHN HORACE
  • NPI Number: 1831889526
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2290638
LAB Type Pharmacy
Facility Name MEDCARE PHARMACY
Street 723 BETHEL STREET
City CLOVER
State SC
ZIP 29710
Phone 803 222-6060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2025
Certificate Expiration Date 9/27/2027
Facility Type Pharmacy
Lab Director JOHN HORACE

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