42D2328749 CLIA NUMBER - WATERWAY PHARMACY

Laboratory Demographics

  • CLIA Code: 42D2328749
  • Facility Name: WATERWAY PHARMACY
  • Facility Address: 3373 HIGHWAY 9 EAST SUITE 30
    LITTLE RIVER, SC
    ZIP 29566
  • Facility Phone: 843 734-0612
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PAWAR MOHIT
  • NPI Number: 1578457446
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2328749
LAB Type Pharmacy
Facility Name WATERWAY PHARMACY
Street 3373 HIGHWAY 9 EAST SUITE 30
City LITTLE RIVER
State SC
ZIP 29566
Phone 843 734-0612
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2025
Certificate Expiration Date 8/17/2027
Facility Type Pharmacy
Lab Director PAWAR MOHIT

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