01D2141407 CLIA NUMBER - SAM'S CLUB PHARMACY 10-8247

Laboratory Demographics

  • CLIA Code: 01D2141407
  • Facility Name: SAM'S CLUB PHARMACY 10-8247
  • Facility Address: 201 LAKESHORE PKWY
    HOMEWOOD, AL
    ZIP 35209
  • Facility Phone: 205 941-0376
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DALTON WALTERS
  • NPI Number: 1609957380
  • Taxonomy: 332H00000X - Eyewear Supplier

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 01D2141407
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-8247
Street 201 LAKESHORE PKWY
City HOMEWOOD
State AL
ZIP 35209
Phone 205 941-0376
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2023
Certificate Expiration Date 12/12/2025
Facility Type Pharmacy
Lab Director DALTON WALTERS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 9/29/2025