26D2126041 CLIA NUMBER - SAM'S EAST, INC DBA SAM'S PHARMACY 10-8163

Laboratory Demographics

  • CLIA Code: 26D2126041
  • Facility Name: SAM'S EAST, INC DBA SAM'S PHARMACY 10-8163
  • Facility Address: 101 CONLEY RD
    COLUMBIA, MO
    ZIP 65201
  • Facility Phone: 573 875-1095
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEANELL BERTELS
  • NPI Number: 1598782831
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2126041
LAB Type Pharmacy
Facility Name SAM'S EAST, INC DBA SAM'S PHARMACY 10-8163
Street 101 CONLEY RD
City COLUMBIA
State MO
ZIP 65201
Phone 573 875-1095
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2025
Certificate Expiration Date 2/16/2027
Facility Type Pharmacy
Lab Director JEANELL BERTELS

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