17D2137927 CLIA NUMBER - SAM'S CLUB PHARMACY 10-4707

Laboratory Demographics

  • CLIA Code: 17D2137927
  • Facility Name: SAM'S CLUB PHARMACY 10-4707
  • Facility Address: 8300 W 135TH ST
    OVERLAND PARK, KS
    ZIP 66223
  • Facility Phone: 913 402-4352
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AARON D. KROPF
  • NPI Number: 1740375666
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 17D2137927
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-4707
Street 8300 W 135TH ST
City OVERLAND PARK
State KS
ZIP 66223
Phone 913 402-4352
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2025
Certificate Expiration Date 10/5/2027
Facility Type Pharmacy
Lab Director AARON D. KROPF

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