10D2173964 CLIA NUMBER - SAMS CLUB PHARMACY #10-6335

Laboratory Demographics

  • CLIA Code: 10D2173964
  • Facility Name: SAMS CLUB PHARMACY #10-6335
  • Facility Address: 3921 SW COLLEGE RD
    OCALA, FL
    ZIP 34474
  • Facility Phone: 352 237-9611
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KELLY CUTICH
  • NPI Number: 1730289430
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 10D2173964
LAB Type Pharmacy
Facility Name SAMS CLUB PHARMACY #10-6335
Street 3921 SW COLLEGE RD
City OCALA
State FL
ZIP 34474
Phone 352 237-9611
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2025
Certificate Expiration Date 10/21/2027
Facility Type Pharmacy
Lab Director KELLY CUTICH

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