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09D2234323 CLIA NUMBER - GIANT PHARMACY #384

Laboratory Demographics

CLIA Number: 09D2234323

Facility Name: GIANT PHARMACY #384

Facility Address:
1535 ALABAMA AVENUE, SE
WASHINGTON, DC
ZIP 20032
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Facility Phone Number: 202 610-6450

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1265625867

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 09D2234323
LAB Type Pharmacy
Facility Name GIANT PHARMACY #384
Street 1535 ALABAMA AVENUE, SE
City WASHINGTON
State DC
ZIP 20032
Phone 202 610-6450
CertificateType 4
CertificateEffectiveDate 8/30/2023
CertificateExpirationDate 8/29/2025
FacilityType Waiver

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