16D2134345 CLIA NUMBER - SAM'S CLUB PHARMACY 10-8162

Laboratory Demographics

  • CLIA Code: 16D2134345
  • Facility Name: SAM'S CLUB PHARMACY 10-8162
  • Facility Address: 2605 BLAIRS FERRY RD NE
    CEDAR RAPIDS, IA
    ZIP 52402
  • Facility Phone: 319 294-9461
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DEBBIE S. SMITH
  • NPI Number: 1558465989
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 16D2134345
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-8162
Street 2605 BLAIRS FERRY RD NE
City CEDAR RAPIDS
State IA
ZIP 52402
Phone 319 294-9461
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2025
Certificate Expiration Date 7/31/2027
Facility Type Pharmacy
Lab Director DEBBIE S. SMITH

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