23D2099785 CLIA NUMBER - SAM'S CLUB #6667

Laboratory Demographics

  • CLIA Code: 23D2099785
  • Facility Name: SAM'S CLUB #6667
  • Facility Address: 5450 CARPENTER ROAD
    YPSILANTI, MI
    ZIP 48197
  • Facility Phone: 734 434-2587
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SUJAL G. PATEL
  • NPI Number: 1093732463
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 23D2099785
LAB Type Pharmacy
Facility Name SAM'S CLUB #6667
Street 5450 CARPENTER ROAD
City YPSILANTI
State MI
ZIP 48197
Phone 734 434-2587
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 SUJAL G. PATEL

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