18D2130683 CLIA NUMBER - SAM'S CLUB PHARMACY 10-8188

Laboratory Demographics

  • CLIA Code: 18D2130683
  • Facility Name: SAM'S CLUB PHARMACY 10-8188
  • Facility Address: 1063 E NEW CIRCLE ROAD
    LEXINGTON, KY
    ZIP 40505
  • Facility Phone: 479 204-2258
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STAN PARKER
  • NPI Number: 1427139195
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 18D2130683
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-8188
Street 1063 E NEW CIRCLE ROAD
City LEXINGTON
State KY
ZIP 40505
Phone 479 204-2258
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2025
Certificate Expiration Date 5/15/2027
Facility Type Pharmacy
Lab Director STAN PARKER

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