24D2099829 CLIA NUMBER - SAM'S PHARMACY 10-4738

Laboratory Demographics

  • CLIA Code: 24D2099829
  • Facility Name: SAM'S PHARMACY 10-4738
  • Facility Address: 3035 DENMARK AVE
    EAGAN, MN
    ZIP 55121
  • Facility Phone: 651 405-3879
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MEGAN A. EASTMAN
  • NPI Number: 1346267739
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2099829
LAB Type Pharmacy
Facility Name SAM'S PHARMACY 10-4738
Street 3035 DENMARK AVE
City EAGAN
State MN
ZIP 55121
Phone 651 405-3879
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 MEGAN A. EASTMAN

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