03D2126736 CLIA NUMBER - SAM'S CLUB PHARMACY 10-6606

Laboratory Demographics

  • CLIA Code: 03D2126736
  • Facility Name: SAM'S CLUB PHARMACY 10-6606
  • Facility Address: 8340 W MCDOWELL RD
    PHOENIX, AZ
    ZIP 85037
  • Facility Phone: 623 936-0466
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEFFREY A. MARTINEZ
  • NPI Number: 1225127558
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 03D2126736
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-6606
Street 8340 W MCDOWELL RD
City PHOENIX
State AZ
ZIP 85037
Phone 623 936-0466
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 JEFFREY A. MARTINEZ

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