01D2146156 CLIA NUMBER - SAM'S CLUB PHARMACY 10-8107

Laboratory Demographics

  • CLIA Code: 01D2146156
  • Facility Name: SAM'S CLUB PHARMACY 10-8107
  • Facility Address: 2235 NATIONAL BLVD SW
    HUNTSVILLE, AL
    ZIP 35803
  • Facility Phone: 256 881-8084
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLY L. YETZER
  • NPI Number: 1972693216
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 01D2146156
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-8107
Street 2235 NATIONAL BLVD SW
City HUNTSVILLE
State AL
ZIP 35803
Phone 256 881-8084
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2024
Certificate Expiration Date 3/21/2026
Facility Type Pharmacy
Lab Director KIMBERLY L. YETZER

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