21D2263489 CLIA NUMBER - VOSHELL'S PHARMACY

Laboratory Demographics

  • CLIA Code: 21D2263489
  • Facility Name: VOSHELL'S PHARMACY
  • Facility Address: 3455 WILKENS AVE STE 103
    BALTIMORE, MD
    ZIP 21229
  • Facility Phone: 410 644-8400
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TRIEU BAO
  • NPI Number: 1487049896
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2263489
LAB Type Pharmacy
Facility Name VOSHELL'S PHARMACY
Street 3455 WILKENS AVE STE 103
City BALTIMORE
State MD
ZIP 21229
Phone 410 644-8400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2024
Certificate Expiration Date 6/28/2026
Facility Type Pharmacy
Lab Director TRIEU BAO

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