49D2278417 CLIA NUMBER - RITE AID 7520

Laboratory Demographics

CLIA Number: 49D2278417

Facility Name: RITE AID 7520

Facility Address:
200 AUGUSTA AVE
GROTTOES, VA
ZIP 24441
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Facility Phone Number: 717 214-8851

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1982319000

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 49D2278417
LAB Type Pharmacy
Facility Name RITE AID 7520
Street 200 AUGUSTA AVE
City GROTTOES
State VA
ZIP 24441
Phone 717 214-8851
CertificateType 4
CertificateEffectiveDate 3/17/2023
CertificateExpirationDate 3/16/2025
FacilityType Waiver

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