21D2222068 CLIA NUMBER - MARYLAND CVS PHARMACY LLC DBA CVS/PHARMACY #10606

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Laboratory Demographics

CLIA Number: 21D2222068

Facility Name: MARYLAND CVS PHARMACY LLC DBA CVS/PHARMACY #10606

Facility Address:
7955 BAYSIDE ROAD
CHESAPEAKE BEACH, MD
ZIP 20732
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Facility Phone Number: 401 770-6431

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1023437142

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	21D2222068
LAB Type	Pharmacy
Facility Name	MARYLAND CVS PHARMACY LLC DBA CVS/PHARMACY #10606
Street	7955 BAYSIDE ROAD
City	CHESAPEAKE BEACH
State	MD
ZIP	20732
Phone	401 770-6431
CertificateType	4
CertificateEffectiveDate	4/27/2023
CertificateExpirationDate	4/26/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024