CLIA lab
CLIA 21D2143869: Sams Club Pharmacy 10-6650
Rosedale, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D2143869 belongs to Sams Club Pharmacy 10-6650 in Rosedale, MD.
Certificate of Waiver, effective February 7, 2026, expires February 6, 2028.
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
- February 7, 2026
- Certificate expiration
- February 6, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 7, 2018
- 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
- 21D2143869
- Lab name
- Sams Club Pharmacy 10-6650
- Address
- 6410 Petrie Way Road, Rosedale, MD 21237
- Phone
- (410) 686-7649
- Fax
- (410) 686-2457
Annual test volume the lab reported
- Waived tests
- 5,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Sams Club Pharmacy 10-6650 in Rosedale?
21D2143869, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sams Club Pharmacy 10-6650 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D2143869 expire?
The CMS file lists February 6, 2028 as the certificate expiration date; the certificate took effect February 7, 2026.