21D2223061 CLIA NUMBER - MARYLAND CVS PHARMACY LLC DBA CVS/PHARMACY #02373

Laboratory Demographics

  • CLIA Code: 21D2223061
  • Facility Name: MARYLAND CVS PHARMACY LLC DBA CVS/PHARMACY #02373
  • Facility Address: 3605 EAST WEST HIGHWAY
    HYATTSVILLE, MD
    ZIP 20782
  • Facility Phone: (401) 770-6431
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMARE ANCHEWE
  • NPI Number: 1215031166
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2223061
LAB Type Pharmacy
Facility Name MARYLAND CVS PHARMACY LLC DBA CVS/PHARMACY #02373
Street 3605 EAST WEST HIGHWAY
City HYATTSVILLE
State MD
ZIP 20782
Phone 4017706431
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2025
Certificate Expiration Date 5/3/2027
Facility Type Pharmacy
Lab Director AMARE ANCHEWE

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This page was last updated on: 5/18/2026