49D2305402 CLIA NUMBER - ASHBURN PHARMACY

Laboratory Demographics

  • CLIA Code: 49D2305402
  • Facility Name: ASHBURN PHARMACY
  • Facility Address: 43150 BROADLANDS CENTER PLAZA, SUITE 150
    BROADLANDS, VA
    ZIP 20148
  • Facility Phone: 571 479-4125
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MOHANAD E. YOUNES
  • NPI Number: 1831949924
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2305402
LAB Type Pharmacy
Facility Name ASHBURN PHARMACY
Street 43150 BROADLANDS CENTER PLAZA, SUITE 150
City BROADLANDS
State VA
ZIP 20148
Phone 571 479-4125
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/30/2024
Certificate Expiration Date 5/29/2026
Facility Type Pharmacy
Lab Director MOHANAD E. YOUNES

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