21D2284182 CLIA NUMBER - MARYLAND CVS PHARMACY LLC DBA CVS/ PHARMACY #01437

Laboratory Demographics

  • CLIA Code: 21D2284182
  • Facility Name: MARYLAND CVS PHARMACY LLC DBA CVS/ PHARMACY #01437
  • Facility Address: 1460B W PATRICK ST
    FREDERICK, MD
    ZIP 21702
  • Facility Phone: 301 662-9522
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BABBY PANDIARAJAN
  • NPI Number: 1003914862
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2284182
LAB Type Pharmacy
Facility Name MARYLAND CVS PHARMACY LLC DBA CVS/ PHARMACY #01437
Street 1460B W PATRICK ST
City FREDERICK
State MD
ZIP 21702
Phone 301 662-9522
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2025
Certificate Expiration Date 6/19/2027
Facility Type Pharmacy
Lab Director BABBY PANDIARAJAN

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