03D2126733 CLIA NUMBER - Sam's Club Pharmacy 10-6605

Laboratory Demographics

CLIA Number: 03D2126733

Facility Name: Sam's Club Pharmacy 10-6605

Facility Address:
1225 N Gilbert Rd
Gilbert, AZ
ZIP 85234
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Facility Phone Number: (480) 926-6509

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1750470431

Taxonomy: 156FX1800X - Technician/Technologist

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

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This page was last updated on: 4/7/2021