CLIA lab
CLIA 21D2061158: Walgreens #10402
Lusby, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D2061158 belongs to Walgreens #10402 in Lusby, MD.
Certificate of Waiver, effective September 27, 2025, expires September 26, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- September 27, 2025
- Certificate expiration
- September 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 24, 2013
- Facility type
- Pharmacy
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 21D2061158
- Lab name
- Walgreens #10402
- Address
- 11745 Rousby Hall Road, Lusby, MD 20657
- Phone
- (410) 394-2730
- Fax
- (410) 394-2736
Annual test volume the lab reported
- Waived tests
- 12,775
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Lusby, MD
- Calvert County Health DepartmentCertificate of Waiver, Other21D2093130
- Giant Pharmacy #343Certificate of Waiver, Pharmacy21D2186359
- Mathew Scaria MDCertificate for Provider-Performed Microscopy Procedures, Physician office21D0209622
- Occupational Health ServicesCertificate of Waiver, Industrial21D0887273
Related
Questions
What is the CLIA number for Walgreens #10402 in Lusby?
21D2061158, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens #10402 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D2061158 expire?
The CMS file lists September 26, 2027 as the certificate expiration date; the certificate took effect September 27, 2025.