06D2128096 CLIA NUMBER - SAM'S CLUB PHARMACY #10-4816

Laboratory Demographics

  • CLIA Code: 06D2128096
  • Facility Name: SAM'S CLUB PHARMACY #10-4816
  • Facility Address: 6201 S AURORA PKWY
    AURORA, CO
    ZIP 80016
  • Facility Phone: 303 617-5614
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MELANIE G. CORDOVA
  • NPI Number: 1629162839
  • Taxonomy: 332H00000X - Eyewear Supplier

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 06D2128096
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY #10-4816
Street 6201 S AURORA PKWY
City AURORA
State CO
ZIP 80016
Phone 303 617-5614
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 MELANIE G. CORDOVA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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