21D2285367 CLIA NUMBER - MARYLAND CVS PHARMACY LLC DBA CVS/PHARMACY #02160

Laboratory Demographics

  • CLIA Code: 21D2285367
  • Facility Name: MARYLAND CVS PHARMACY LLC DBA CVS/PHARMACY #02160
  • Facility Address: 9519 PHILADELPHIA ROAD
    BALTIMORE, MD
    ZIP 21237
  • Facility Phone: 410 238-1071
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JUDY SIM
  • NPI Number: 1497859342
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2285367
LAB Type Pharmacy
Facility Name MARYLAND CVS PHARMACY LLC DBA CVS/PHARMACY #02160
Street 9519 PHILADELPHIA ROAD
City BALTIMORE
State MD
ZIP 21237
Phone 410 238-1071
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2025
Certificate Expiration Date 7/10/2027
Facility Type Pharmacy
Lab Director JUDY SIM

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