01D2159154 CLIA NUMBER - SAM'S CLUB PHARMACY 10-8102

Laboratory Demographics

  • CLIA Code: 01D2159154
  • Facility Name: SAM'S CLUB PHARMACY 10-8102
  • Facility Address: 601 E I-65 SERVICE RD
    MOBILE, AL
    ZIP 36606
  • Facility Phone: 251 479-1346
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRITTANY H. LEE
  • NPI Number: 1710069299
  • Taxonomy: 332H00000X - Eyewear Supplier

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 01D2159154
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-8102
Street 601 E I-65 SERVICE RD
City MOBILE
State AL
ZIP 36606
Phone 251 479-1346
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2024
Certificate Expiration Date 12/11/2026
Facility Type Pharmacy
Lab Director BRITTANY H. LEE

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