18D2126788 CLIA NUMBER - SAM'S CLUB PHARMACY 10-4876

Laboratory Demographics

  • CLIA Code: 18D2126788
  • Facility Name: SAM'S CLUB PHARMACY 10-4876
  • Facility Address: 3200 KEN BALE BLVD
    BOWLING GREEN, KY
    ZIP 42103
  • Facility Phone: (270) 781-7727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. MEREDITH MCCLOUD
  • NPI Number: 1225581820
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 18D2126788
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-4876
Street 3200 KEN BALE BLVD
City BOWLING GREEN
State KY
ZIP 42103
Phone 2707817727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2025
Certificate Expiration Date 3/5/2027
Facility Type Pharmacy
Lab Director MS. MEREDITH MCCLOUD

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This page was last updated on: 5/18/2026