06D2128085 CLIA NUMBER - SAM'S CLUB PHARMACY #10-8147

Laboratory Demographics

  • CLIA Code: 06D2128085
  • Facility Name: SAM'S CLUB PHARMACY #10-8147
  • Facility Address: 1200 E EISENHOWER BLVD
    LOVELAND, CO
    ZIP 80537
  • Facility Phone: 970 461-2434
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KATHERINE BARTELSON
  • NPI Number: 1083790273
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 06D2128085
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY #10-8147
Street 1200 E EISENHOWER BLVD
City LOVELAND
State CO
ZIP 80537
Phone 970 461-2434
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Pharmacy
Lab Director KATHERINE BARTELSON

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