01D2147533 CLIA NUMBER - SAM'S CLUB PHARMACY 10-6435

Laboratory Demographics

  • CLIA Code: 01D2147533
  • Facility Name: SAM'S CLUB PHARMACY 10-6435
  • Facility Address: 1401 SKYLAND BLVD E
    TUSCALOOSA, AL
    ZIP 35405
  • Facility Phone: 205 345-2016
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RALPH HARRIS
  • NPI Number: 1841557212
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 01D2147533
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-6435
Street 1401 SKYLAND BLVD E
City TUSCALOOSA
State AL
ZIP 35405
Phone 205 345-2016
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2024
Certificate Expiration Date 4/19/2026
Facility Type Pharmacy
Lab Director RALPH HARRIS

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