09D0924568 CLIA NUMBER - GRUBB'S PHARMACY OF DC, INC

Laboratory Demographics

CLIA Number: 09D0924568

Facility Name: GRUBB'S PHARMACY OF DC, INC

Facility Address:
326 EAST CAPITOL STREET NE
WASHINGTON, DC
ZIP 20003
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Facility Phone Number: 202 543-4400

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1942866249

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	09D0924568
LAB Type	Pharmacy
Facility Name	GRUBB'S PHARMACY OF DC, INC
Street	326 EAST CAPITOL STREET NE
City	WASHINGTON
State	DC
ZIP	20003
Phone	202 543-4400
CertificateType	4
CertificateEffectiveDate	2/3/2023
CertificateExpirationDate	2/2/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024