Healther Providers Data Logo

49D2185256 CLIA NUMBER - MARTIN'S PHARMACY #6454

Laboratory Demographics

CLIA Number: 49D2185256

Facility Name: MARTIN'S PHARMACY #6454

Facility Address:
15371 MONTANUS DR
CULPEPER, VA
ZIP 22701
Get Directions

Facility Phone Number: 717 960-8602

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1194957324

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 49D2185256
LAB Type Pharmacy
Facility Name MARTIN'S PHARMACY #6454
Street 15371 MONTANUS DR
City CULPEPER
State VA
ZIP 22701
Phone 717 960-8602
CertificateType 4
CertificateEffectiveDate 6/2/2022
CertificateExpirationDate 6/1/2024
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024