25D2126289 CLIA NUMBER - SAM'S PHARMACY 10-4871

Laboratory Demographics

  • CLIA Code: 25D2126289
  • Facility Name: SAM'S PHARMACY 10-4871
  • Facility Address: 715 BONITA DR
    MERIDIAN, MS
    ZIP 39301
  • Facility Phone: 601 286-6035
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SARAH R. WELCH
  • NPI Number: 1316287998
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 25D2126289
LAB Type Pharmacy
Facility Name SAM'S PHARMACY 10-4871
Street 715 BONITA DR
City MERIDIAN
State MS
ZIP 39301
Phone 601 286-6035
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2025
Certificate Expiration Date 2/22/2027
Facility Type Pharmacy
Lab Director SARAH R. WELCH

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