01D2146169 CLIA NUMBER - SAM'S CLUB PHARMACY 10-4724

Laboratory Demographics

CLIA Number: 01D2146169

Facility Name: SAM'S CLUB PHARMACY 10-4724

Facility Address:
3053 JOH HAWKINS PKWY
HOOVER, AL
ZIP 35244
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Facility Phone Number: 205 982-0982

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1932289063

Taxonomy: 156FX1800X - Technician/Technologist
Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

CLIA Record

Field Name	Field Value
CLIA Number	01D2146169
LAB Type	Pharmacy
Facility Name	SAM'S CLUB PHARMACY 10-4724
Street	3053 JOH HAWKINS PKWY
City	HOOVER
State	AL
ZIP	35244
Phone	205 982-0982
CertificateType	4
CertificateEffectiveDate	3/23/2024
CertificateExpirationDate	3/22/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024