21D2195071 CLIA NUMBER - BALTIMORE HIGHLANDS PHARMACY

Laboratory Demographics

  • CLIA Code: 21D2195071
  • Facility Name: BALTIMORE HIGHLANDS PHARMACY
  • Facility Address: 4109 ANNAPOLIS ROAD
    BALTIMORE, MD
    ZIP 21227
  • Facility Phone: 410 636-1035
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHERINE JOSEPH
  • NPI Number: 1801038690
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2195071
LAB Type Pharmacy
Facility Name BALTIMORE HIGHLANDS PHARMACY
Street 4109 ANNAPOLIS ROAD
City BALTIMORE
State MD
ZIP 21227
Phone 410 636-1035
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2024
Certificate Expiration Date 10/5/2026
Facility Type Pharmacy
Lab Director SHERINE JOSEPH

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