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

Laboratory Demographics

  • CLIA Code: 18D2126793
  • Facility Name: SAM'S CLUB PHARMACY 10-6449
  • Facility Address: 3550 JAMES SANDERS BLVD
    PADUCAH, KY
    ZIP 42001
  • Facility Phone: (270) 444-6992
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. ALISSA RATLEY

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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 2704446992
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. ALISSA RATLEY

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