21D2143872 CLIA NUMBER - SAMS CLUB PHARMACY 10-6651

Laboratory Demographics

  • CLIA Code: 21D2143872
  • Facility Name: SAMS CLUB PHARMACY 10-6651
  • Facility Address: 5702 BALTIMORE NATIONAL PIKE
    CATONSVILLE, MD
    ZIP 21228
  • Facility Phone: 410 744-3154
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HLAING W. HLAING
  • NPI Number: 1164513693
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 21D2143872
LAB Type Pharmacy
Facility Name SAMS CLUB PHARMACY 10-6651
Street 5702 BALTIMORE NATIONAL PIKE
City CATONSVILLE
State MD
ZIP 21228
Phone 410 744-3154
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2024
Certificate Expiration Date 2/6/2026
Facility Type Pharmacy
Lab Director HLAING W. HLAING

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