CLIA lab

CLIA 21D2290480: Walgreeens #17836

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

CLIA number 21D2290480 belongs to Walgreeens #17836 in Timonium, MD.

Certificate of Waiver, effective September 26, 2025, expires September 25, 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
September 26, 2025
Certificate expiration
September 25, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 26, 2023
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
21D2290480
Lab name
Walgreeens #17836
Address
12224 Tullamore Road, Timonium, MD 21093
Phone
(410) 683-0031
Fax
(410) 683-1609

Annual test volume the lab reported

Waived tests
12,775

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Timonium, MD

Related

Questions

What is the CLIA number for Walgreeens #17836 in Timonium?

21D2290480, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walgreeens #17836 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 21D2290480 expire?

The CMS file lists September 25, 2027 as the certificate expiration date; the certificate took effect September 26, 2025.

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