14D2133018 CLIA NUMBER - SAM'S CLUB PHARMACY 6228

Laboratory Demographics

  • CLIA Code: 14D2133018
  • Facility Name: SAM'S CLUB PHARMACY 6228
  • Facility Address: 335 N MILWAUKEE AVE
    VERNON HILLS, IL
    ZIP 60061
  • Facility Phone: 847 955-9254
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER CARR
  • NPI Number: 1053411850
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 14D2133018
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 6228
Street 335 N MILWAUKEE AVE
City VERNON HILLS
State IL
ZIP 60061
Phone 847 955-9254
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 JENNIFER CARR

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