21D2283809 CLIA NUMBER - MARYLAND CVS PHARMACY LLC DBA CVS/PHARMACY #01177

Laboratory Demographics

  • CLIA Code: 21D2283809
  • Facility Name: MARYLAND CVS PHARMACY LLC DBA CVS/PHARMACY #01177
  • Facility Address: 11190 VIERS MILL ROAD
    WHEATON, MD
    ZIP 20902
  • Facility Phone: 301 942-1791
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NGOZI U. UWAKWE
  • NPI Number: 1548356850
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2283809
LAB Type Pharmacy
Facility Name MARYLAND CVS PHARMACY LLC DBA CVS/PHARMACY #01177
Street 11190 VIERS MILL ROAD
City WHEATON
State MD
ZIP 20902
Phone 301 942-1791
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 NGOZI U. UWAKWE

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