03D2126866 CLIA NUMBER - Sam's Club Pharmacy 10-6205

Laboratory Demographics

CLIA Number: 03D2126866

Facility Name: Sam's Club Pharmacy 10-6205

Facility Address:
1462 S Pacific Ave
Yuma, AZ
ZIP 85365
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Facility Phone Number: (928) 783-6575

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1639260177

Taxonomy: 156FX1800X - Technician/Technologist

CLIA Record

Field Name Field Value
CLIA Number 03D2126866
LAB Type PHARMACY
Facility Name Sam's Club Pharmacy 10-6205
Street 1462 S Pacific Ave
City Yuma
State AZ
ZIP 85365
Phone (928) 783-6575

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