21D2123580 CLIA NUMBER - MARTIN'S PHARMACY #6307

Laboratory Demographics

  • CLIA Code: 21D2123580
  • Facility Name: MARTIN'S PHARMACY #6307
  • Facility Address: 1320 LONDONTOWN BOULEVARD
    ELDERSBURG, MD
    ZIP 21784
  • Facility Phone: 410 552-5749
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARY EMADI
  • NPI Number: 1669485959
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2123580
LAB Type Pharmacy
Facility Name MARTIN'S PHARMACY #6307
Street 1320 LONDONTOWN BOULEVARD
City ELDERSBURG
State MD
ZIP 21784
Phone 410 552-5749
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2024
Certificate Expiration Date 12/26/2026
Facility Type Pharmacy
Lab Director MARY EMADI

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