08D2125282 CLIA NUMBER - SAM'S EAST, INC D/B/A SAM'S PHARMACY 10-6330

Laboratory Demographics

  • CLIA Code: 08D2125282
  • Facility Name: SAM'S EAST, INC D/B/A SAM'S PHARMACY 10-6330
  • Facility Address: 1572 N DUPONT HWY
    DOVER, DE
    ZIP 19901
  • Facility Phone: 302 678-2161
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANDREW KENNEDY
  • NPI Number: 1427075720
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 08D2125282
LAB Type Pharmacy
Facility Name SAM'S EAST, INC D/B/A SAM'S PHARMACY 10-6330
Street 1572 N DUPONT HWY
City DOVER
State DE
ZIP 19901
Phone 302 678-2161
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/3/2025
Certificate Expiration Date 2/2/2027
Facility Type Pharmacy
Lab Director ANDREW KENNEDY

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