21D2049633 CLIA NUMBER - CATONSVILLE PHARMACY LLC

Laboratory Demographics

  • CLIA Code: 21D2049633
  • Facility Name: CATONSVILLE PHARMACY LLC
  • Facility Address: 6350 FREDERICK ROAD
    CATONSVILLE, MD
    ZIP 21228
  • Facility Phone: 410 744-5959
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RAIMON CARY
  • NPI Number: 1750782694
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2049633
LAB Type Pharmacy
Facility Name CATONSVILLE PHARMACY LLC
Street 6350 FREDERICK ROAD
City CATONSVILLE
State MD
ZIP 21228
Phone 410 744-5959
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2024
Certificate Expiration Date 11/8/2026
Facility Type Pharmacy
Lab Director RAIMON CARY

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