42D2296983 CLIA NUMBER - CBTP PARTNERS LLC DBA WOODRUFF HEALTH MART PHARMACY

Laboratory Demographics

  • CLIA Code: 42D2296983
  • Facility Name: CBTP PARTNERS LLC DBA WOODRUFF HEALTH MART PHARMACY
  • Facility Address: 10195 HIGHWAY 221, SUITE 5
    WOODRUFF, SC
    ZIP 29388
  • Facility Phone: 864 670-8150
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TARA M. PINILLA
  • NPI Number: 1679116453
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2296983
LAB Type Pharmacy
Facility Name CBTP PARTNERS LLC DBA WOODRUFF HEALTH MART PHARMACY
Street 10195 HIGHWAY 221, SUITE 5
City WOODRUFF
State SC
ZIP 29388
Phone 864 670-8150
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2024
Certificate Expiration Date 1/8/2026
Facility Type Pharmacy
Lab Director TARA M. PINILLA

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