21D2143875 CLIA NUMBER - SAMS CLUB PHARMACY 10-8193

Laboratory Demographics

CLIA Number: 21D2143875

Facility Name: SAMS CLUB PHARMACY 10-8193

Facility Address:
1700 WESEL BOULEVARD
HAGERSTOWN, MD
ZIP 21740
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Facility Phone Number: 301 393-3786

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1811088198

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	21D2143875
LAB Type	Pharmacy
Facility Name	SAMS CLUB PHARMACY 10-8193
Street	1700 WESEL BOULEVARD
City	HAGERSTOWN
State	MD
ZIP	21740
Phone	301 393-3786
CertificateType	4
CertificateEffectiveDate	2/7/2024
CertificateExpirationDate	2/6/2026
FacilityType	Waiver

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