21D2157580 CLIA NUMBER - WALMART PHARMACY 10-1890

Laboratory Demographics

  • CLIA Code: 21D2157580
  • Facility Name: WALMART PHARMACY 10-1890
  • Facility Address: 2702 N SALISBURY BOULEVARD
    SALISBURY, MD
    ZIP 21801
  • Facility Phone: 410 860-5323
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSHUA TAYLOR
  • NPI Number: 1356368625
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2157580
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1890
Street 2702 N SALISBURY BOULEVARD
City SALISBURY
State MD
ZIP 21801
Phone 410 860-5323
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2024
Certificate Expiration Date 11/7/2026
Facility Type Pharmacy
Lab Director JOSHUA TAYLOR

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