21D2283804 CLIA NUMBER - MARYLAND CVS PHARMACY LLC DBA CVS/PHARMACY #10892

Laboratory Demographics

  • CLIA Code: 21D2283804
  • Facility Name: MARYLAND CVS PHARMACY LLC DBA CVS/PHARMACY #10892
  • Facility Address: 10201 REISTERSTOWN RD
    OWINGS MILLS, MD
    ZIP 21117
  • Facility Phone: 410 581-4922
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ABIGAIL WILSON
  • NPI Number: 1134222557
  • Taxonomy: 225100000X - Physical Therapist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2283804
LAB Type Pharmacy
Facility Name MARYLAND CVS PHARMACY LLC DBA CVS/PHARMACY #10892
Street 10201 REISTERSTOWN RD
City OWINGS MILLS
State MD
ZIP 21117
Phone 410 581-4922
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 ABIGAIL WILSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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