49D2154354 CLIA NUMBER - TED PHARMACY

Laboratory Demographics

  • CLIA Code: 49D2154354
  • Facility Name: TED PHARMACY
  • Facility Address: 24585 STONE CARVER DR SUITE 175
    ALDIE, VA
    ZIP 20105
  • Facility Phone: 571 367-3914
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EHAB TADROUS
  • NPI Number: 1659860500
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2154354
LAB Type Pharmacy
Facility Name TED PHARMACY
Street 24585 STONE CARVER DR SUITE 175
City ALDIE
State VA
ZIP 20105
Phone 571 367-3914
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2024
Certificate Expiration Date 9/10/2026
Facility Type Pharmacy
Lab Director EHAB TADROUS

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