19D2136386 CLIA NUMBER - SAM'S CLUB PHARMACY 10-6527

Laboratory Demographics

CLIA Number: 19D2136386

Facility Name: SAM'S CLUB PHARMACY 10-6527

Facility Address:
10444 N MALL DR
BATON ROUGE, LA
ZIP 70809
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Facility Phone Number: 225 295-0914

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1861573461

Taxonomy: 156FX1800X - Technician/Technologist
Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

CLIA Record

Field Name	Field Value
CLIA Number	19D2136386
LAB Type	Pharmacy
Facility Name	SAM'S CLUB PHARMACY 10-6527
Street	10444 N MALL DR
City	BATON ROUGE
State	LA
ZIP	70809
Phone	225 295-0914
CertificateType	4
CertificateEffectiveDate	9/8/2023
CertificateExpirationDate	9/7/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024