21D2088554 CLIA NUMBER - GIANT PHARMACY #159

Laboratory Demographics

  • CLIA Code: 21D2088554
  • Facility Name: GIANT PHARMACY #159
  • Facility Address: 3757 OLD COURT ROAD
    PIKESVILLE, MD
    ZIP 21208
  • Facility Phone: 410 602-7661
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KATHLEEN D. HERSHEY
  • NPI Number: 1174556427
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2088554
LAB Type Pharmacy
Facility Name GIANT PHARMACY #159
Street 3757 OLD COURT ROAD
City PIKESVILLE
State MD
ZIP 21208
Phone 410 602-7661
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2024
Certificate Expiration Date 12/15/2026
Facility Type Pharmacy
Lab Director KATHLEEN D. HERSHEY

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This page was last updated on: 3/20/2025