21D2158589 CLIA NUMBER - WALMART PHARMACY 10-2436

Laboratory Demographics

  • CLIA Code: 21D2158589
  • Facility Name: WALMART PHARMACY 10-2436
  • Facility Address: 6400A RIDGE ROAD SUITE 1
    SYKESVILLE, MD
    ZIP 21784
  • Facility Phone: 479 277-2374
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KINJAL B. PATEL
  • NPI Number: 1356712103
  • Taxonomy: 332H00000X - Eyewear Supplier

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2158589
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2436
Street 6400A RIDGE ROAD SUITE 1
City SYKESVILLE
State MD
ZIP 21784
Phone 479 277-2374
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2024
Certificate Expiration Date 12/2/2026
Facility Type Pharmacy
Lab Director KINJAL B. PATEL

Download Record

Download this CLIA record record in Text format: Export

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

Download this CLIA record record in XML format: Export

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