19D2133573 CLIA NUMBER - SAM'S CLUB PHARMACY 10-8114

Laboratory Demographics

  • CLIA Code: 19D2133573
  • Facility Name: SAM'S CLUB PHARMACY 10-8114
  • Facility Address: 3222 AMBASSADOR CAFFERY PKWY
    LAFAYETTE, LA
    ZIP 70506
  • Facility Phone: 337 216-0159
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHELSEA SMITH
  • NPI Number: 1447335021
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 19D2133573
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-8114
Street 3222 AMBASSADOR CAFFERY PKWY
City LAFAYETTE
State LA
ZIP 70506
Phone 337 216-0159
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2025
Certificate Expiration Date 7/16/2027
Facility Type Pharmacy
Lab Director CHELSEA SMITH

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