19D2133578 CLIA NUMBER - SAM'S CLUB PHARMACY 10-8237

Laboratory Demographics

  • CLIA Code: 19D2133578
  • Facility Name: SAM'S CLUB PHARMACY 10-8237
  • Facility Address: 5400 I20 FRONTAGE RD
    MONROE, LA
    ZIP 71202
  • Facility Phone: 318 345-0207
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BESSIE L. SCHOOLEY
  • NPI Number: 1699050302
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 19D2133578
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-8237
Street 5400 I20 FRONTAGE RD
City MONROE
State LA
ZIP 71202
Phone 318 345-0207
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 BESSIE L. SCHOOLEY

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