21D2283803 CLIA NUMBER - MARYLAND CVS PHARMACY LLC DBA CVS/PHARMACY #10648

Laboratory Demographics

  • CLIA Code: 21D2283803
  • Facility Name: MARYLAND CVS PHARMACY LLC DBA CVS/PHARMACY #10648
  • Facility Address: 6383 TEN OAKS ROAD
    CLARKSVILLE, MD
    ZIP 21029
  • Facility Phone: 443 535-8339
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JUULCURLEY AGBOR-ENOH
  • NPI Number: 1346297868
  • Taxonomy: 163W00000X - Registered Nurse

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CLIA Record

Field Name Field Value
CLIA Number 21D2283803
LAB Type Pharmacy
Facility Name MARYLAND CVS PHARMACY LLC DBA CVS/PHARMACY #10648
Street 6383 TEN OAKS ROAD
City CLARKSVILLE
State MD
ZIP 21029
Phone 443 535-8339
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 JUULCURLEY AGBOR-ENOH

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