CLIA lab
CLIA 21D2290555: Walgreens #17205
Baltimore, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D2290555 belongs to Walgreens #17205 in Baltimore, MD.
Certificate of Waiver, effective September 27, 2025, expires September 26, 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 27, 2025
- Certificate expiration
- September 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 27, 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
- 21D2290555
- Lab name
- Walgreens #17205
- Address
- 1030 West 41st Street Suite E, Baltimore, MD 21211
- Phone
- (410) 235-0002
- Fax
- (410) 889-3680
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.
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Related
Questions
What is the CLIA number for Walgreens #17205 in Baltimore?
21D2290555, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens #17205 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D2290555 expire?
The CMS file lists September 26, 2027 as the certificate expiration date; the certificate took effect September 27, 2025.