21D2157581 CLIA NUMBER - WALMART PHARMACY 10-2435

Laboratory Demographics

  • CLIA Code: 21D2157581
  • Facility Name: WALMART PHARMACY 10-2435
  • Facility Address: 2399 NORTH POINT BOULEVARD
    DUNDALK, MD
    ZIP 21222
  • Facility Phone: 410 284-0126
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NWANNE U. UDEAGHA
  • NPI Number: 1730107251
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2157581
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2435
Street 2399 NORTH POINT BOULEVARD
City DUNDALK
State MD
ZIP 21222
Phone 410 284-0126
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 NWANNE U. UDEAGHA

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