03D2126899 CLIA NUMBER - Sam's Club Pharmacy 10-4829

Laboratory Demographics

CLIA Number: 03D2126899

Facility Name: Sam's Club Pharmacy 10-4829

Facility Address:
2621 S Market St
Gilbert, AZ
ZIP 85295
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Facility Phone Number: (480) 722-9972

Facility Type: PHARMACY

Certificate Type: Waiver

NPI Number: 1851575831

Taxonomy: 156FX1800X - Technician/Technologist

CLIA Record

Field Name Field Value
CLIA Number 03D2126899
LAB Type PHARMACY
Facility Name Sam's Club Pharmacy 10-4829
Street 2621 S Market St
City Gilbert
State AZ
ZIP 85295
Phone (480) 722-9972

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