CLIA lab
CLIA 21D2332600: Park Professional Pharmacy
Severna Park, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D2332600 belongs to Park Professional Pharmacy in Severna Park, MD.
Certificate of Waiver, effective October 22, 2025, expires October 21, 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
- October 22, 2025
- Certificate expiration
- October 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 22, 2025
- Facility type
- Pharmacy
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 21D2332600
- Lab name
- Park Professional Pharmacy
- Address
- 580 Ritchie Hwy Suite N, Severna Park, MD 21146
- Phone
- (410) 544-7275
- Fax
- (410) 544-9586
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.
Affiliated CLIA numbers
Other labs in Severna Park, MD
- Annapolis PediatricsCertificate of Waiver, Physician office21D1039182
- Brightview Severna Park, LLCCertificate of Waiver, Assisted living facility21D2124367
- Complete Care at Severna ParkCertificate of Waiver, Skilled nursing or nursing facility21D0874398
- Doctors First LLCCertificate of Waiver, Physician office21D2315614
- Expresscare of Severna ParkCertificate of Waiver, Community clinic21D2142065
- Giant Pharmacy #358Certificate of Waiver, Pharmacy21D2088591
- Harris Teeter Pharmacy #97-0364Certificate of Waiver, Other21D2155484
- Heartlands at Severna ParkCertificate of Waiver, Assisted living facility21D2002715
- Household of AngelsCertificate of Waiver, Assisted living facility21D2334733
- Ilene B Bayer-Garner, MDCertificate of Compliance, Physician office21D2021633
Related
Questions
What is the CLIA number for Park Professional Pharmacy in Severna Park?
21D2332600, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Park Professional Pharmacy hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D2332600 expire?
The CMS file lists October 21, 2027 as the certificate expiration date; the certificate took effect October 22, 2025.