18D2132035 CLIA NUMBER - SAM'S CLUB PHARMACY 10-4992

Laboratory Demographics

  • CLIA Code: 18D2132035
  • Facility Name: SAM'S CLUB PHARMACY 10-4992
  • Facility Address: 1500 RING RD
    ELIZABETHTOWN, KY
    ZIP 42701
  • Facility Phone: 270 763-0755
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. REHN D. RIGGLE
  • NPI Number: 1770729626
  • Taxonomy: 156FX1800X - Technician/Technologist

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CLIA Record

Field Name Field Value
CLIA Number 18D2132035
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-4992
Street 1500 RING RD
City ELIZABETHTOWN
State KY
ZIP 42701
Phone 270 763-0755
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2025
Certificate Expiration Date 6/11/2027
Facility Type Pharmacy
Lab Director MS. REHN D. RIGGLE

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