21D2115936 CLIA NUMBER - GIANT PHARMACY #368

Laboratory Demographics

  • CLIA Code: 21D2115936
  • Facility Name: GIANT PHARMACY #368
  • Facility Address: 842 MUDDY BRANCH ROAD
    GAITHERSBURG, MD
    ZIP 20878
  • Facility Phone: 301 926-2044
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HIMALI THAKKAR
  • NPI Number: 1831124882
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2115936
LAB Type Pharmacy
Facility Name GIANT PHARMACY #368
Street 842 MUDDY BRANCH ROAD
City GAITHERSBURG
State MD
ZIP 20878
Phone 301 926-2044
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2024
Certificate Expiration Date 7/14/2026
Facility Type Pharmacy
Lab Director HIMALI THAKKAR

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This page was last updated on: 6/4/2025