21D0955721 CLIA NUMBER - MARION PHARMACY

Laboratory Demographics

  • CLIA Code: 21D0955721
  • Facility Name: MARION PHARMACY
  • Facility Address: 26427 BURTON AVENUE
    CRISFIELD, MD
    ZIP 21817
  • Facility Phone: 410 968-2300
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: REBECCA ILGEN
  • NPI Number: 1144281239
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 21D0955721
LAB Type Pharmacy
Facility Name MARION PHARMACY
Street 26427 BURTON AVENUE
City CRISFIELD
State MD
ZIP 21817
Phone 410 968-2300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2025
Certificate Expiration Date 1/6/2027
Facility Type Pharmacy
Lab Director REBECCA ILGEN

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