21D2188386 CLIA NUMBER - GREENSBORO PHARMACY

Laboratory Demographics

  • CLIA Code: 21D2188386
  • Facility Name: GREENSBORO PHARMACY
  • Facility Address: 102 S MAIN STREET
    GREENSBORO, MD
    ZIP 21639
  • Facility Phone: 410 482-6295
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHELE CLOUGH
  • NPI Number: 1841332202
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2188386
LAB Type Pharmacy
Facility Name GREENSBORO PHARMACY
Street 102 S MAIN STREET
City GREENSBORO
State MD
ZIP 21639
Phone 410 482-6295
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2024
Certificate Expiration Date 7/15/2026
Facility Type Pharmacy
Lab Director MICHELE CLOUGH

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