49D2187271 CLIA NUMBER - GIANT PHARMACY #778

Laboratory Demographics

CLIA Number: 49D2187271

Facility Name: GIANT PHARMACY #778

Facility Address:
41 WEST LEE HIGHWAY
WARRENTON, VA
ZIP 20186
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Facility Phone Number: 540 347-1078

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1477586717

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	49D2187271
LAB Type	Pharmacy
Facility Name	GIANT PHARMACY #778
Street	41 WEST LEE HIGHWAY
City	WARRENTON
State	VA
ZIP	20186
Phone	540 347-1078
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