21D2157602 CLIA NUMBER - WALMART PHARMACY 10-1968

Laboratory Demographics

  • CLIA Code: 21D2157602
  • Facility Name: WALMART PHARMACY 10-1968
  • Facility Address: 645 S PHILADELPHIA BOULEVARD
    ABERDEEN, MD
    ZIP 21001
  • Facility Phone: (410) 273-9203
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHAWN P. RIPPIN

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CLIA Record

Field Name Field Value
CLIA Number 21D2157602
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-1968
Street 645 S PHILADELPHIA BOULEVARD
City ABERDEEN
State MD
ZIP 21001
Phone 4102739203
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 SHAWN P. RIPPIN

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This page was last updated on: 5/18/2026