21D2242078 CLIA NUMBER - RITCHIE DRUGS LLC DBA MIKE'S PHARMACY III

Laboratory Demographics

  • CLIA Code: 21D2242078
  • Facility Name: RITCHIE DRUGS LLC DBA MIKE'S PHARMACY III
  • Facility Address: 8125 RITCHIE HIGHWAY #L
    PASADENA, MD
    ZIP 21122
  • Facility Phone: 410 870-4545
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KELLY E. KOSTIC
  • NPI Number: 1417532615
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2242078
LAB Type Pharmacy
Facility Name RITCHIE DRUGS LLC DBA MIKE'S PHARMACY III
Street 8125 RITCHIE HIGHWAY #L
City PASADENA
State MD
ZIP 21122
Phone 410 870-4545
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2023
Certificate Expiration Date 11/3/2025
Facility Type Pharmacy
Lab Director KELLY E. KOSTIC

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