10D2173540 CLIA NUMBER - SAM'S CLUB PHARMACY #10-6441

Laboratory Demographics

  • CLIA Code: 10D2173540
  • Facility Name: SAM'S CLUB PHARMACY #10-6441
  • Facility Address: 4600 US HWY 98 N
    LAKELAND, FL
    ZIP 33809
  • Facility Phone: 863 853-3701
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EDUARDO ITURREGUI
  • NPI Number: 1467553784
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 10D2173540
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY #10-6441
Street 4600 US HWY 98 N
City LAKELAND
State FL
ZIP 33809
Phone 863 853-3701
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2025
Certificate Expiration Date 10/14/2027
Facility Type Pharmacy
Lab Director EDUARDO ITURREGUI

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