21D2211161 CLIA NUMBER - ARUNDEL PHARMACY

Laboratory Demographics

  • CLIA Code: 21D2211161
  • Facility Name: ARUNDEL PHARMACY
  • Facility Address: 7571 RITCHIE HWY
    GLEN BURNIE, MD
    ZIP 21061
  • Facility Phone: 410 761-3443
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PRASAD MATTUPALLI
  • NPI Number: 1336236520
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2211161
LAB Type Pharmacy
Facility Name ARUNDEL PHARMACY
Street 7571 RITCHIE HWY
City GLEN BURNIE
State MD
ZIP 21061
Phone 410 761-3443
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2025
Certificate Expiration Date 1/25/2027
Facility Type Pharmacy
Lab Director PRASAD MATTUPALLI

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