21D2196228 CLIA NUMBER - PROFESSIONAL PHARMACY

Laboratory Demographics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2196228
LAB Type Pharmacy
Facility Name PROFESSIONAL PHARMACY
Street 9106 PHILADELPHIA ROAD #100
City ROSEDALE
State MD
ZIP 21237
Phone 410 687-8113
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2024
Certificate Expiration Date 10/14/2026
Facility Type Pharmacy
Lab Director CHRISTINE LEE

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