18D2126793 CLIA NUMBER - SAM'S CLUB PHARMACY 10-6449

Laboratory Demographics

CLIA Number: 18D2126793

Facility Name: SAM'S CLUB PHARMACY 10-6449

Facility Address:
3550 JAMES SANDERS BLVD
PADUCAH, KY
ZIP 42001
Get Directions

Facility Phone Number: 270 444-6992

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1821188079

Taxonomy: 156FX1800X - Technician/Technologist
Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

CLIA Record

Field Name	Field Value
CLIA Number	18D2126793
LAB Type	Pharmacy
Facility Name	SAM'S CLUB PHARMACY 10-6449
Street	3550 JAMES SANDERS BLVD
City	PADUCAH
State	KY
ZIP	42001
Phone	270 444-6992
CertificateType	4
CertificateEffectiveDate	3/6/2023
CertificateExpirationDate	3/5/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024