06D2128125 CLIA NUMBER - SAM'S CLUB PHARMACY #10-6635

Laboratory Demographics

  • CLIA Code: 06D2128125
  • Facility Name: SAM'S CLUB PHARMACY #10-6635
  • Facility Address: 4827 S WADSWORTH WAY
    LITTLETON, CO
    ZIP 80123
  • Facility Phone: 303 971-0038
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARIA SHULGA
  • NPI Number: 1740372671
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 06D2128125
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY #10-6635
Street 4827 S WADSWORTH WAY
City LITTLETON
State CO
ZIP 80123
Phone 303 971-0038
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 MARIA SHULGA

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