14D2133009 CLIA NUMBER - SAM'S CLUB PHARMACY 10-6384

Laboratory Demographics

  • CLIA Code: 14D2133009
  • Facility Name: SAM'S CLUB PHARMACY 10-6384
  • Facility Address: 9500 JOLIET RD
    HODGKINS, IL
    ZIP 60525
  • Facility Phone: 708 485-7563
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NUHA O. AWAD
  • NPI Number: 1326148438
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 14D2133009
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-6384
Street 9500 JOLIET RD
City HODGKINS
State IL
ZIP 60525
Phone 708 485-7563
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 NUHA O. AWAD

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