06D2128112 CLIA NUMBER - SAM'S CLUB PHARMACY #10-6360

Laboratory Demographics

  • CLIA Code: 06D2128112
  • Facility Name: SAM'S CLUB PHARMACY #10-6360
  • Facility Address: 1040 INDEPENDENT AVE
    GRAND JUNCTION, CO
    ZIP 81505
  • Facility Phone: 970 254-2875
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. MORGAN L. EPPS
  • NPI Number: 1528152675
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 06D2128112
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY #10-6360
Street 1040 INDEPENDENT AVE
City GRAND JUNCTION
State CO
ZIP 81505
Phone 970 254-2875
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 DR. MORGAN L. EPPS

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