06D2128087 CLIA NUMBER - SAM'S CLUB PHARMACY #10-8272

Laboratory Demographics

  • CLIA Code: 06D2128087
  • Facility Name: SAM'S CLUB PHARMACY #10-8272
  • Facility Address: 4385 VENETUCCI BLVD
    COLORADO SPRINGS, CO
    ZIP 80906
  • Facility Phone: 719 637-3874
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAURA TARRH
  • NPI Number: 1932299302
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 06D2128087
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY #10-8272
Street 4385 VENETUCCI BLVD
City COLORADO SPRINGS
State CO
ZIP 80906
Phone 719 637-3874
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 LAURA TARRH

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