23D2099781 CLIA NUMBER - SAM'S CLUB 10-6666

Laboratory Demographics

  • CLIA Code: 23D2099781
  • Facility Name: SAM'S CLUB 10-6666
  • Facility Address: 39800 FORD ROAD
    CANTON, MI
    ZIP 48187
  • Facility Phone: 734 981-5104
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HARSH K. PATEL
  • NPI Number: 1366469587
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2099781
LAB Type Pharmacy
Facility Name SAM'S CLUB 10-6666
Street 39800 FORD ROAD
City CANTON
State MI
ZIP 48187
Phone 734 981-5104
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 HARSH K. PATEL

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