21D2184539 CLIA NUMBER - JARRETTSVILLE PHARMACY

Laboratory Demographics

  • CLIA Code: 21D2184539
  • Facility Name: JARRETTSVILLE PHARMACY
  • Facility Address: 3714 NORRISVILLE RD
    JARRETTSVILLE, MD
    ZIP 21084
  • Facility Phone: 410 557-7717
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CAPRI J. DIGIOVANNI
  • NPI Number: 1215015722
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2184539
LAB Type Pharmacy
Facility Name JARRETTSVILLE PHARMACY
Street 3714 NORRISVILLE RD
City JARRETTSVILLE
State MD
ZIP 21084
Phone 410 557-7717
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2024
Certificate Expiration Date 5/20/2026
Facility Type Pharmacy
Lab Director CAPRI J. DIGIOVANNI

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