21D2244377 CLIA NUMBER - MEDMERICA DISCOUNT PHARMACY

Laboratory Demographics

  • CLIA Code: 21D2244377
  • Facility Name: MEDMERICA DISCOUNT PHARMACY
  • Facility Address: 5003 RITCHIE HWY
    BROOKLYN, MD
    ZIP 21225
  • Facility Phone: 443 283-8400
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AJAY KHANNA
  • NPI Number: 1770626624
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2244377
LAB Type Pharmacy
Facility Name MEDMERICA DISCOUNT PHARMACY
Street 5003 RITCHIE HWY
City BROOKLYN
State MD
ZIP 21225
Phone 443 283-8400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2023
Certificate Expiration Date 11/30/2025
Facility Type Pharmacy
Lab Director AJAY KHANNA

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