23D2099762 CLIA NUMBER - SAM'S PHARMACY 10-4781

Laboratory Demographics

  • CLIA Code: 23D2099762
  • Facility Name: SAM'S PHARMACY 10-4781
  • Facility Address: 2925 TOWNE CENTRE BLVD
    LANSING, MI
    ZIP 48912
  • Facility Phone: 517 482-1803
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER NORELLO
  • NPI Number: 1285651653
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2099762
LAB Type Pharmacy
Facility Name SAM'S PHARMACY 10-4781
Street 2925 TOWNE CENTRE BLVD
City LANSING
State MI
ZIP 48912
Phone 517 482-1803
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2025
Certificate Expiration Date 8/2/2027
Facility Type Pharmacy
Lab Director CHRISTOPHER NORELLO

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