24D2099658 CLIA NUMBER - SAM'S PHARMACY 10-6312

Laboratory Demographics

  • CLIA Code: 24D2099658
  • Facility Name: SAM'S PHARMACY 10-6312
  • Facility Address: 9925 HUDSON ROAD
    WOODBURY, MN
    ZIP 55125
  • Facility Phone: (651) 702-7980
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LISA GABRIELSON

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CLIA Record

Field Name Field Value
CLIA Number 24D2099658
LAB Type Pharmacy
Facility Name SAM'S PHARMACY 10-6312
Street 9925 HUDSON ROAD
City WOODBURY
State MN
ZIP 55125
Phone 6517027980
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2025
Certificate Expiration Date 7/29/2027
Facility Type Pharmacy
Lab Director LISA GABRIELSON

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This page was last updated on: 5/18/2026