21D2185846 CLIA NUMBER - ANNAPOLIS PHARMACY LLC DBA ANNAPOLIS PROFESSIONAL

Laboratory Demographics

  • CLIA Code: 21D2185846
  • Facility Name: ANNAPOLIS PHARMACY LLC DBA ANNAPOLIS PROFESSIONAL
  • Facility Address: 703 GIDDINGS AVENUE STE L1
    ANNAPOLIS, MD
    ZIP 21401
  • Facility Phone: 410 263-7440
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEREMY CUNDIFF
  • NPI Number: 1609272111
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2185846
LAB Type Pharmacy
Facility Name ANNAPOLIS PHARMACY LLC DBA ANNAPOLIS PROFESSIONAL
Street 703 GIDDINGS AVENUE STE L1
City ANNAPOLIS
State MD
ZIP 21401
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 6/10/2024
Certificate Expiration Date 6/9/2026
Facility Type Pharmacy
Lab Director JEREMY CUNDIFF

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