18D2126750 CLIA NUMBER - SAM'S CLUB PHARMACY 10-8276

Laboratory Demographics

  • CLIA Code: 18D2126750
  • Facility Name: SAM'S CLUB PHARMACY 10-8276
  • Facility Address: 6622 PRESTON HWY
    LOUISVILLE, KY
    ZIP 40219
  • Facility Phone: 502 964-0342
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. TARALEIN BECKMANN
  • NPI Number: 1043396880
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 18D2126750
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-8276
Street 6622 PRESTON HWY
City LOUISVILLE
State KY
ZIP 40219
Phone 502 964-0342
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2025
Certificate Expiration Date 3/2/2027
Facility Type Pharmacy
Lab Director MS. TARALEIN BECKMANN

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