21D2081791 CLIA NUMBER - SAFEWAY PHARMACY #1481

Laboratory Demographics

  • CLIA Code: 21D2081791
  • Facility Name: SAFEWAY PHARMACY #1481
  • Facility Address: 2610 BOSTON STREET
    BALTIMORE, MD
    ZIP 21224
  • Facility Phone: 410 675-3802
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: OLAMIDE A. BANJO
  • NPI Number: 1023054657
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2081791
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1481
Street 2610 BOSTON STREET
City BALTIMORE
State MD
ZIP 21224
Phone 410 675-3802
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2024
Certificate Expiration Date 7/29/2026
Facility Type Pharmacy
Lab Director OLAMIDE A. BANJO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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