21D2145234 CLIA NUMBER - SAM'S CLUB PHARMACY 10-6383

Laboratory Demographics

  • CLIA Code: 21D2145234
  • Facility Name: SAM'S CLUB PHARMACY 10-6383
  • Facility Address: 2700 N SALISBURY BOULEVARD
    SALISBURY, MD
    ZIP 21801
  • Facility Phone: 410 546-1984
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KATELYN HITCH
  • NPI Number: 1124127642
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 21D2145234
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-6383
Street 2700 N SALISBURY BOULEVARD
City SALISBURY
State MD
ZIP 21801
Phone 410 546-1984
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2024
Certificate Expiration Date 3/4/2026
Facility Type Pharmacy
Lab Director KATELYN HITCH

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