21D2237697 CLIA NUMBER - DEMMY'S PHARMACY

Laboratory Demographics

  • CLIA Code: 21D2237697
  • Facility Name: DEMMY'S PHARMACY
  • Facility Address: 4900 GREENBELT RD
    COLLEGE PARK, MD
    ZIP 20740
  • Facility Phone: 301 220-3124
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ADEOLU ODEWALE
  • NPI Number: 1598186488
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2237697
LAB Type Pharmacy
Facility Name DEMMY'S PHARMACY
Street 4900 GREENBELT RD
City COLLEGE PARK
State MD
ZIP 20740
Phone 301 220-3124
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2025
Certificate Expiration Date 9/27/2027
Facility Type Pharmacy
Lab Director ADEOLU ODEWALE

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