49D2203556 CLIA NUMBER - ROTZ PHARMACY

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Laboratory Demographics

CLIA Number: 49D2203556

Facility Name: ROTZ PHARMACY

Facility Address:
1338 AMHERST ST
WINCHESTER, VA
ZIP 22601
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Facility Phone Number: 540 662-8312

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1134194731

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	49D2203556
LAB Type	Pharmacy
Facility Name	ROTZ PHARMACY
Street	1338 AMHERST ST
City	WINCHESTER
State	VA
ZIP	22601
Phone	540 662-8312
CertificateType	4
CertificateEffectiveDate	12/4/2022
CertificateExpirationDate	12/3/2024
FacilityType	Waiver

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