24D2099486 CLIA NUMBER - SAM'S PHARMACY 10-6427

Laboratory Demographics

  • CLIA Code: 24D2099486
  • Facility Name: SAM'S PHARMACY 10-6427
  • Facility Address: 3410 55TH STREET NORTHWEST
    ROCHESTER, MN
    ZIP 55901
  • Facility Phone: 507 292-5783
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TU VO
  • NPI Number: 1750300737
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2099486
LAB Type Pharmacy
Facility Name SAM'S PHARMACY 10-6427
Street 3410 55TH STREET NORTHWEST
City ROCHESTER
State MN
ZIP 55901
Phone 507 292-5783
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 TU VO

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