21D2283767 CLIA NUMBER - MARYLAND CVS PHARMACY LLC DBA CVS PHARMACY #04225

Laboratory Demographics

  • CLIA Code: 21D2283767
  • Facility Name: MARYLAND CVS PHARMACY LLC DBA CVS PHARMACY #04225
  • Facility Address: 975 BAY BRIDGE RD
    ANNAPOLIS, MD
    ZIP 21401
  • Facility Phone: 410 268-7688
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KYLE J. SLAVIN
  • NPI Number: 1831292598
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2283767
LAB Type Pharmacy
Facility Name MARYLAND CVS PHARMACY LLC DBA CVS PHARMACY #04225
Street 975 BAY BRIDGE RD
City ANNAPOLIS
State MD
ZIP 21401
Phone 410 268-7688
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2025
Certificate Expiration Date 6/12/2027
Facility Type Pharmacy
Lab Director KYLE J. SLAVIN

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