CLIA lab
CLIA 21D2168165: Giant Pharmacy #143
Ellicott City, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D2168165 belongs to Giant Pharmacy #143 in Ellicott City, MD.
Certificate of Waiver, effective June 24, 2025, expires June 23, 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
- June 24, 2025
- Certificate expiration
- June 23, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 24, 2019
- 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
- 21D2168165
- Lab name
- Giant Pharmacy #143
- Address
- 4715 Dorsey Hall Drive, Ellicott City, MD 21042
- Phone
- (410) 992-3797
- Fax
- (410) 992-3428
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- 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 Giant Pharmacy #143 in Ellicott City?
21D2168165, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Giant Pharmacy #143 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D2168165 expire?
The CMS file lists June 23, 2027 as the certificate expiration date; the certificate took effect June 24, 2025.