21D2194353 CLIA NUMBER - SOLEIL PHARMACY

Laboratory Demographics

  • CLIA Code: 21D2194353
  • Facility Name: SOLEIL PHARMACY
  • Facility Address: 801 LANDMARK DRIVE
    GLEN BURNIE, MD
    ZIP 21061
  • Facility Phone: 443 281-9157
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TRIEU BAO
  • NPI Number: 1205336328
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2194353
LAB Type Pharmacy
Facility Name SOLEIL PHARMACY
Street 801 LANDMARK DRIVE
City GLEN BURNIE
State MD
ZIP 21061
Phone 443 281-9157
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2024
Certificate Expiration Date 9/29/2026
Facility Type Pharmacy
Lab Director TRIEU BAO

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