03D2126733 CLIA NUMBER - SAM'S CLUB PHARMACY 10-6605

Laboratory Demographics

  • CLIA Code: 03D2126733
  • Facility Name: SAM'S CLUB PHARMACY 10-6605
  • Facility Address: 1225 N GILBERT RD
    GILBERT, AZ
    ZIP 85234
  • Facility Phone: 480 926-6509
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAYESH D. PATEL
  • NPI Number: 1750470431
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 03D2126733
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-6605
Street 1225 N GILBERT RD
City GILBERT
State AZ
ZIP 85234
Phone 480 926-6509
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2025
Certificate Expiration Date 3/2/2027
Facility Type Pharmacy
Lab Director JAYESH D. PATEL

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