21D2317296 CLIA NUMBER - HABNAEL INC DBA GREEKTOWN PHARMACY & MINI MART

Laboratory Demographics

  • CLIA Code: 21D2317296
  • Facility Name: HABNAEL INC DBA GREEKTOWN PHARMACY & MINI MART
  • Facility Address: 4501 EASTERN AVE
    BALTIMORE, MD
    ZIP 21224
  • Facility Phone: 443 759-7062
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: HIWOT FEKADE
  • NPI Number: 1417453325
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2317296
LAB Type Mobile Laboratory
Facility Name HABNAEL INC DBA GREEKTOWN PHARMACY & MINI MART
Street 4501 EASTERN AVE
City BALTIMORE
State MD
ZIP 21224
Phone 443 759-7062
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2025
Certificate Expiration Date 1/21/2027
Facility Type Mobile Laboratory
Lab Director HIWOT FEKADE

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