10D2172431 CLIA NUMBER - SAMS CLUB PHARMACY 10-4785

Laboratory Demographics

  • CLIA Code: 10D2172431
  • Facility Name: SAMS CLUB PHARMACY 10-4785
  • Facility Address: 1101 RINEHART RD
    SANFORD, FL
    ZIP 32771
  • Facility Phone: 407 302-1979
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE ONEILL-MURRAY
  • NPI Number: 1851492698
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 10D2172431
LAB Type Pharmacy
Facility Name SAMS CLUB PHARMACY 10-4785
Street 1101 RINEHART RD
City SANFORD
State FL
ZIP 32771
Phone 407 302-1979
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2025
Certificate Expiration Date 9/23/2027
Facility Type Pharmacy
Lab Director JACQUELINE ONEILL-MURRAY

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