CLIA lab
CLIA 21D2143870: Sams Club Pharmacy 10-4771
Severn, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D2143870 belongs to Sams Club Pharmacy 10-4771 in Severn, 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
- 21D2143870
- Lab name
- Sams Club Pharmacy 10-4771
- Address
- 424 George Claus Boulevard, Severn, MD 21144
- Phone
- (410) 969-5491
- Fax
- (410) 837-3764
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.
Other labs in Severn, MD
- Cridge Home Care Assisted Living LLC IVCertificate of Waiver, Assisted living facility21D2332601
- Maryland CVS Pharmacy LLC DBA Cvs/Pharmacy #01510Certificate of Waiver, Pharmacy21D2283808
- Maryland CVS Pharmacy LLC DBA Cvs/Pharmacy #02883Certificate of Waiver, Pharmacy21D2284969
- The Nest Assisted Living FacilityCertificate of Waiver, Assisted living facility21D2332525
- Walgreens #19427Certificate of Waiver, Pharmacy21D2293318
- Walmart Pharmacy 10-1875Certificate of Waiver, Pharmacy21D2160800
Related
Questions
What is the CLIA number for Sams Club Pharmacy 10-4771 in Severn?
21D2143870, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sams Club Pharmacy 10-4771 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D2143870 expire?
The CMS file lists February 6, 2028 as the certificate expiration date; the certificate took effect February 7, 2026.