42D2324487 CLIA NUMBER - LORIS DRUG COMPANY LLC DBA LORIS DRUG STORE

Laboratory Demographics

  • CLIA Code: 42D2324487
  • Facility Name: LORIS DRUG COMPANY LLC DBA LORIS DRUG STORE
  • Facility Address: 4125 MAIN ST
    LORIS, SC
    ZIP 29569
  • Facility Phone: 843 756-4021
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PAULA G. JUSTICE
  • NPI Number: 1700881943
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2324487
LAB Type Pharmacy
Facility Name LORIS DRUG COMPANY LLC DBA LORIS DRUG STORE
Street 4125 MAIN ST
City LORIS
State SC
ZIP 29569
Phone 843 756-4021
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/27/2025
Certificate Expiration Date 5/26/2027
Facility Type Pharmacy
Lab Director PAULA G. JUSTICE

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