23D2099778 CLIA NUMBER - SAM'S PHARMACY 10-6359

Laboratory Demographics

  • CLIA Code: 23D2099778
  • Facility Name: SAM'S PHARMACY 10-6359
  • Facility Address: 3901 ALPINE AVENUE NW
    COMSTOCK PARK, MI
    ZIP 49321
  • Facility Phone: 616 647-9302
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER NEWELL
  • NPI Number: 1578581435
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2099778
LAB Type Pharmacy
Facility Name SAM'S PHARMACY 10-6359
Street 3901 ALPINE AVENUE NW
City COMSTOCK PARK
State MI
ZIP 49321
Phone 616 647-9302
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 NEWELL

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