10D2172784 CLIA NUMBER - SAMS CLUB PHARMACY #10-6363

Laboratory Demographics

  • CLIA Code: 10D2172784
  • Facility Name: SAMS CLUB PHARMACY #10-6363
  • Facility Address: 6373 YOUNGERMAN CIR
    JACKSONVILLE, FL
    ZIP 32244
  • Facility Phone: 904 573-0547
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NAIM RIHANI
  • NPI Number: 1023109568
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 10D2172784
LAB Type Pharmacy
Facility Name SAMS CLUB PHARMACY #10-6363
Street 6373 YOUNGERMAN CIR
City JACKSONVILLE
State FL
ZIP 32244
Phone 904 573-0547
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2025
Certificate Expiration Date 9/29/2027
Facility Type Pharmacy
Lab Director NAIM RIHANI

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