21D2283808 CLIA NUMBER - MARYLAND CVS PHARMACY LLC DBA CVS/PHARMACY #01510

Laboratory Demographics

  • CLIA Code: 21D2283808
  • Facility Name: MARYLAND CVS PHARMACY LLC DBA CVS/PHARMACY #01510
  • Facility Address: 2600 ANNAPOLIS RD
    SEVERN, MD
    ZIP 21144
  • Facility Phone: 410 799-2150
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GIRALY R. CRUZ
  • NPI Number: 1598869430
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2283808
LAB Type Pharmacy
Facility Name MARYLAND CVS PHARMACY LLC DBA CVS/PHARMACY #01510
Street 2600 ANNAPOLIS RD
City SEVERN
State MD
ZIP 21144
Phone 410 799-2150
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 GIRALY R. CRUZ

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