49D2211356 CLIA NUMBER - MY DR'S PHARMACY

Laboratory Demographics

  • CLIA Code: 49D2211356
  • Facility Name: MY DR'S PHARMACY
  • Facility Address: 492 ELDEN ST
    HERNDON, VA
    ZIP 20170
  • Facility Phone: 703 215-8000
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: OMAR SHOHEIBER
  • NPI Number: 1629426648
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2211356
LAB Type Pharmacy
Facility Name MY DR'S PHARMACY
Street 492 ELDEN ST
City HERNDON
State VA
ZIP 20170
Phone 703 215-8000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2025
Certificate Expiration Date 1/26/2027
Facility Type Pharmacy
Lab Director OMAR SHOHEIBER

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This page was last updated on: 9/29/2025