49D2215134 CLIA NUMBER - VIENNA DRUG CENTER

Laboratory Demographics

CLIA Number: 49D2215134

Facility Name: VIENNA DRUG CENTER

Facility Address:
150 MAPLE AVE WEST
VIENNA, VA
ZIP 22180
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Facility Phone Number: 703 938-7111

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1932206778

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	49D2215134
LAB Type	Pharmacy
Facility Name	VIENNA DRUG CENTER
Street	150 MAPLE AVE WEST
City	VIENNA
State	VA
ZIP	22180
Phone	703 938-7111
CertificateType	4
CertificateEffectiveDate	3/1/2023
CertificateExpirationDate	2/28/2025
FacilityType	Waiver

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