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GUADALUPE FREE CLINIC
NPI 1417778275
Pharmacy - Clinic Pharmacy in Colonial Beach, VA

Active since October 23, 2024CLIA 49D1039697 · Waiver
700 MCKINNEY BLVD STE 1100, COLONIAL BEACH, VA 22443(804) 224-0571(804) 224-0572 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Guadalupe Free Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GUADALUPE FREE CLINIC (NPI 1417778275) is a healthcare organization registered as a clinic pharmacy in Colonial Beach, Virginia and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through April 19, 2027 and lists Daniel Muldoon, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1417778275
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NameGUADALUPE FREE CLINIC
Location Address700 MCKINNEY BLVD STE 1100Colonial Beach, VA 22443-1934
Mailing Address700 Mckinney Blvd Ste 1100Colonial Beach, VA 22443-1934 · (804) 224-0571 · Fax (804) 224-0572
Phone(804) 224-0571
Fax(804) 224-0572
Organization SubpartNo
Authorized OfficialDaniel MuldoonMedical Director · (540) 840-9002
Enumeration DateOctober 23, 2024
NPPES CertifiedOctober 20, 2024
✔ NPI 1417778275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers
Taxonomy Code3336C0002X
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
700 MCKINNEY BLVD STE 1100, Colonial Beach, VA 22443
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Other Identifiers 2

Other0201004142VA · Virginia Department Of Health Professions, Board Of Pharmacy
OtherC65VA · Virginia Immunization Information System

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D1039697

Guadalupe Free Clinic · Colonial Beach, VA
Active · expires Apr 19, 2027
CLIA Number49D1039697
Laboratory TypeOther
Certificate Effective DateApril 20, 2025
Certificate Expiration DateApril 19, 2027
Laboratory DirectorDaniel Muldoon MD
Laboratory Phone(804) 224-7221
Laboratory LocationGuadalupe Free Clinic5 Irving Avenue South, Colonial Beach, VA 22443
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Guadalupe Free Clinic's NPI number?

The NPI number for Guadalupe Free Clinic is 1417778275. It was assigned to this organization in the NPPES registry on October 23, 2024.

Where is Guadalupe Free Clinic located?

Guadalupe Free Clinic is located at 700 Mckinney Blvd Ste 1100, Colonial Beach, VA 22443. The listed phone number is (804) 224-0571.

What is Guadalupe Free Clinic's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

Does Guadalupe Free Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1039697) is associated with this NPI, valid through April 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Guadalupe Free Clinic was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.