23D2099766 CLIA NUMBER - SAM'S PHARMACY 10-6562

Laboratory Demographics

  • CLIA Code: 23D2099766
  • Facility Name: SAM'S PHARMACY 10-6562
  • Facility Address: 1707 E SHERMAN BLVD
    MUSKEGON, MI
    ZIP 49444
  • Facility Phone: 231 830-9203
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TODD M. ZIELINSKI
  • NPI Number: 1003833229
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2099766
LAB Type Pharmacy
Facility Name SAM'S PHARMACY 10-6562
Street 1707 E SHERMAN BLVD
City MUSKEGON
State MI
ZIP 49444
Phone 231 830-9203
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 TODD M. ZIELINSKI

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