Healther Providers Data Logo

21D2158587 CLIA NUMBER - WALMART PHARMACY 10-2272

Laboratory Demographics

CLIA Number: 21D2158587

Facility Name: WALMART PHARMACY 10-2272

Facility Address:
2775 DORCHESTER SQUARE
CAMBRIDGE, MD
ZIP 21613
Get Directions

Facility Phone Number: 410 221-0388

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1669499943

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 21D2158587
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2272
Street 2775 DORCHESTER SQUARE
City CAMBRIDGE
State MD
ZIP 21613
Phone 410 221-0388
CertificateType 4
CertificateEffectiveDate 12/3/2022
CertificateExpirationDate 12/2/2024
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024