24D2099485 CLIA NUMBER - SAM'S PHARMACY 10-8183

Laboratory Demographics

  • CLIA Code: 24D2099485
  • Facility Name: SAM'S PHARMACY 10-8183
  • Facility Address: 207 COUNTY ROAD 120
    SAINT CLOUD, MN
    ZIP 56303
  • Facility Phone: 320 229-8795
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DARIN BUCHOLZ
  • NPI Number: 1043524135
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D2099485
LAB Type Pharmacy
Facility Name SAM'S PHARMACY 10-8183
Street 207 COUNTY ROAD 120
City SAINT CLOUD
State MN
ZIP 56303
Phone 320 229-8795
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Pharmacy
Lab Director DARIN BUCHOLZ

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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