49D2184474 CLIA NUMBER - MCLEAN PHARMACY

Laboratory Demographics

  • CLIA Code: 49D2184474
  • Facility Name: MCLEAN PHARMACY
  • Facility Address: 1392 CHAIN BRIDGE ROAD
    MCLEAN, VA
    ZIP 22101
  • Facility Phone: 571 488-6030
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JINOUS GRANMAYEH
  • NPI Number: 1326320177
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2184474
LAB Type Pharmacy
Facility Name MCLEAN PHARMACY
Street 1392 CHAIN BRIDGE ROAD
City MCLEAN
State VA
ZIP 22101
Phone 571 488-6030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2024
Certificate Expiration Date 5/19/2026
Facility Type Pharmacy
Lab Director JINOUS GRANMAYEH

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