66D2271311 CLIA NUMBER - BRABU PHARMACY AND WELLNESS CENTER - DANDAN

Laboratory Demographics

  • CLIA Code: 66D2271311
  • Facility Name: BRABU PHARMACY AND WELLNESS CENTER - DANDAN
  • Facility Address: SUITE #1 RJ COMMERCIAL BUILDING ROUTE 31 DANDAN
    SAIPAN MARIANA ISLANDS, MP
    ZIP 96950
  • Facility Phone: 670 235-2668
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THEODDORE PARKER
  • NPI Number: 1821749987
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 66D2271311
LAB Type Pharmacy
Facility Name BRABU PHARMACY AND WELLNESS CENTER - DANDAN
Street SUITE #1 RJ COMMERCIAL BUILDING ROUTE 31 DANDAN
City SAIPAN MARIANA ISLANDS
State MP
ZIP 96950
Phone 670 235-2668
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2024
Certificate Expiration Date 10/31/2026
Facility Type Pharmacy
Lab Director THEODDORE PARKER

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