10D2175413 CLIA NUMBER - SAM'S CLUB PHARMACY #10-8157

Laboratory Demographics

  • CLIA Code: 10D2175413
  • Facility Name: SAM'S CLUB PHARMACY #10-8157
  • Facility Address: 4295 45TH ST
    WEST PALM BEACH, FL
    ZIP 33407
  • Facility Phone: 561 687-3108
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARY L. ROSSI
  • NPI Number: 1669561288
  • Taxonomy: 332H00000X - Eyewear Supplier

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2175413
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY #10-8157
Street 4295 45TH ST
City WEST PALM BEACH
State FL
ZIP 33407
Phone 561 687-3108
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2023
Certificate Expiration Date 11/19/2025
Facility Type Pharmacy
Lab Director MARY L. ROSSI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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