21D2226558 CLIA NUMBER - MARYLAND CVS PHARMACY LLC DBA CVS/PHARMACY #01477

Laboratory Demographics

CLIA Number: 21D2226558

Facility Name: MARYLAND CVS PHARMACY LLC DBA CVS/PHARMACY #01477

Facility Address:
1290 EAST-WEST HIGHWAY
SILVER SPRING, MD
ZIP 20910
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Facility Phone Number: 866 389-2727

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1306238423

Taxonomy: 207RE0101X - Internal Medicine
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

CLIA Record

Field Name	Field Value
CLIA Number	21D2226558
LAB Type	Pharmacy
Facility Name	MARYLAND CVS PHARMACY LLC DBA CVS/PHARMACY #01477
Street	1290 EAST-WEST HIGHWAY
City	SILVER SPRING
State	MD
ZIP	20910
Phone	866 389-2727
CertificateType	4
CertificateEffectiveDate	6/2/2023
CertificateExpirationDate	6/1/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024