21D2284969 CLIA NUMBER - MARYLAND CVS PHARMACY LLC DBA CVS/PHARMACY #02883

Laboratory Demographics

  • CLIA Code: 21D2284969
  • Facility Name: MARYLAND CVS PHARMACY LLC DBA CVS/PHARMACY #02883
  • Facility Address: 7851 TELEGRAPH RD
    SEVERN, MD
    ZIP 21144
  • Facility Phone: 410 551-5141
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMARACHI C. OKEKE
  • NPI Number: 1679677520
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2284969
LAB Type Pharmacy
Facility Name MARYLAND CVS PHARMACY LLC DBA CVS/PHARMACY #02883
Street 7851 TELEGRAPH RD
City SEVERN
State MD
ZIP 21144
Phone 410 551-5141
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/3/2025
Certificate Expiration Date 7/2/2027
Facility Type Pharmacy
Lab Director AMARACHI C. OKEKE

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