49D2197853 CLIA NUMBER - GAINESVILLE PHARMACY

Home > CLIA Lookup > 49D2197853

Laboratory Demographics

CLIA Number: 49D2197853

Facility Name: GAINESVILLE PHARMACY

Facility Address:
7963 HERITAGE VILLAGE PLAZA
GAINESVILLE, VA
ZIP 20155
Get Directions

Facility Phone Number: 703 743-5603

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1700300506

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	49D2197853
LAB Type	Pharmacy
Facility Name	GAINESVILLE PHARMACY
Street	7963 HERITAGE VILLAGE PLAZA
City	GAINESVILLE
State	VA
ZIP	20155
Phone	703 743-5603
CertificateType	4
CertificateEffectiveDate	10/28/2022
CertificateExpirationDate	10/27/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

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

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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