21D2185759 CLIA NUMBER - B & A PHARMACY LLC

Laboratory Demographics

  • CLIA Code: 21D2185759
  • Facility Name: B & A PHARMACY LLC
  • Facility Address: 4611 ASSEMBLY DR #H
    LANHAM, MD
    ZIP 20706
  • Facility Phone: 410 263-7440
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEREMY CUNDIFF
  • NPI Number: 1598908659
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2185759
LAB Type Pharmacy
Facility Name B & A PHARMACY LLC
Street 4611 ASSEMBLY DR #H
City LANHAM
State MD
ZIP 20706
Phone 410 263-7440
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2024
Certificate Expiration Date 6/8/2026
Facility Type Pharmacy
Lab Director JEREMY CUNDIFF

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