21D2160803 CLIA NUMBER - WALMART PHARMACY 10-3804

Laboratory Demographics

  • CLIA Code: 21D2160803
  • Facility Name: WALMART PHARMACY 10-3804
  • Facility Address: 8730 LIBERTY ROAD
    RANDALLSTOWN, MD
    ZIP 21133
  • Facility Phone: (443) 576-3155
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BUSUULWA D. KAWUMA

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CLIA Record

Field Name Field Value
CLIA Number 21D2160803
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3804
Street 8730 LIBERTY ROAD
City RANDALLSTOWN
State MD
ZIP 21133
Phone 4435763155
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2025
Certificate Expiration Date 1/17/2027
Facility Type Pharmacy
Lab Director BUSUULWA D. KAWUMA

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