19D2133582 CLIA NUMBER - SAM'S CLUB PHARMACY 10-8221

Laboratory Demographics

  • CLIA Code: 19D2133582
  • Facility Name: SAM'S CLUB PHARMACY 10-8221
  • Facility Address: 1527 MANHATTAN BLVD
    HARVEY, LA
    ZIP 70058
  • Facility Phone: 504 263-8919
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HANH N. TRAN
  • NPI Number: 1811078249
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 19D2133582
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-8221
Street 1527 MANHATTAN BLVD
City HARVEY
State LA
ZIP 70058
Phone 504 263-8919
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 HANH N. TRAN

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