03D2324060 CLIA NUMBER - SAM'S WEST, INC DBA SAM'S CLUB PHARMACY # 10-4956

Laboratory Demographics

  • CLIA Code: 03D2324060
  • Facility Name: SAM'S WEST, INC DBA SAM'S CLUB PHARMACY # 10-4956
  • Facility Address: 2080 E RIO SALADO PKWY
    TEMPE, AZ
    ZIP 85288
  • Facility Phone: 480 606-1805
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WESLEY Q. VO
  • NPI Number: 1235938416
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 03D2324060
LAB Type Pharmacy
Facility Name SAM'S WEST, INC DBA SAM'S CLUB PHARMACY # 10-4956
Street 2080 E RIO SALADO PKWY
City TEMPE
State AZ
ZIP 85288
Phone 480 606-1805
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2025
Certificate Expiration Date 5/18/2027
Facility Type Pharmacy
Lab Director WESLEY Q. VO

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