CLIA lab
CLIA 21D2158578: Walmart Pharmacy 10-2412
Ellicott City, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D2158578 belongs to Walmart Pharmacy 10-2412 in Ellicott City, MD.
Certificate of Waiver, effective December 3, 2024, expires December 2, 2026.
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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- December 3, 2024
- Certificate expiration
- December 2, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 3, 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
- 21D2158578
- Lab name
- Walmart Pharmacy 10-2412
- Address
- 3200 North Ridge Road, Ellicott City, MD 21043
- Phone
- (410) 418-9703
- Fax
- (410) 480-1732
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 Ellicott City, MD
- Advanced Radiology CrossroadsCertificate of Waiver, Other21D2076107
- Angels Who Care Home Health ServicesCertificate of Waiver, Home health agency21D2128229
- Asthma & Allergy Center LLCCertificate of Waiver, Physician office21D2304442
- Barenburg Optometric Services IncCertificate of Waiver, Physician office21D2098605
- Better Life Pain ClinicCertificate of Waiver, Physician office21D2165387
- Capital Healthcare Mso Inc DBA Closeknit EllicottCertificate of Waiver, Physician office21D1081158
- Clear Skin for YouCertificate of Waiver, Physician office21D2238172
- Crossroads Medical Laboratory LLCCertificate of Compliance, Physician office21D0214558
- Ellicott City Ambulatory Surgery CenterCertificate of Waiver, Ambulatory surgery center21D0957189
- Ellicott City DialysisCertificate of Waiver, End stage renal disease dialysis facility21D1070823
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-2412 in Ellicott City?
21D2158578, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-2412 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D2158578 expire?
The CMS file lists December 2, 2026 as the certificate expiration date; the certificate took effect December 3, 2024.