14D2132990 CLIA NUMBER - SAM'S CLUB PHARMACY

Laboratory Demographics

  • CLIA Code: 14D2132990
  • Facility Name: SAM'S CLUB PHARMACY
  • Facility Address: 321 S LARKIN AVE
    JOLIET, IL
    ZIP 60436
  • Facility Phone: 815 725-5124
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ZAINAB KHAN
  • NPI Number: 1851597645
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 14D2132990
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY
Street 321 S LARKIN AVE
City JOLIET
State IL
ZIP 60436
Phone 815 725-5124
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/3/2025
Certificate Expiration Date 7/2/2027
Facility Type Pharmacy
Lab Director ZAINAB KHAN

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