CLIA lab

CLIA 21D2143874: Sams Club Pharmacy 10-6434

Laurel, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 21D2143874 belongs to Sams Club Pharmacy 10-6434 in Laurel, 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
21D2143874
Lab name
Sams Club Pharmacy 10-6434
Address
3535 Russett Grn, Laurel, MD 20724
Phone
(240) 568-5011
Fax
(240) 568-5013

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 10-6434 in Laurel?

21D2143874, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Sams Club Pharmacy 10-6434 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 21D2143874 expire?

The CMS file lists February 6, 2028 as the certificate expiration date; the certificate took effect February 7, 2026.

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