49D2187245 CLIA NUMBER - GIANT PHARMACY #748

Laboratory Demographics

CLIA Number: 49D2187245

Facility Name: GIANT PHARMACY #748

Facility Address:
290111 SOUTH GLEBE ROAD
ARLINGTON, VA
ZIP 22206
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Facility Phone Number: 703 739-3714

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1558394809

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	49D2187245
LAB Type	Pharmacy
Facility Name	GIANT PHARMACY #748
Street	290111 SOUTH GLEBE ROAD
City	ARLINGTON
State	VA
ZIP	22206
Phone	703 739-3714
CertificateType	4
CertificateEffectiveDate	6/29/2022
CertificateExpirationDate	6/28/2024
FacilityType	Waiver

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