03D2126895 CLIA NUMBER - Sam's Club Pharmacy 10-6213

Laboratory Demographics

CLIA Number: 03D2126895

Facility Name: Sam's Club Pharmacy 10-6213

Facility Address:
700 N 54th St
Chandler, AZ
ZIP 85226
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Facility Phone Number: (480) 893-6999

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1457442998

Taxonomy: 156FX1800X - Technician/Technologist

CLIA Record

Field Name	Field Value
CLIA Number	03D2126895
LAB Type	PHARMACY
Facility Name	Sam's Club Pharmacy 10-6213
Street	700 N 54th St
City	Chandler
State	AZ
ZIP	85226
Phone	(480) 893-6999

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