26D2126043 CLIA NUMBER - SAM'S EAST, INC DBA SAM'S PHARMACY 10-4741

Laboratory Demographics

  • CLIA Code: 26D2126043
  • Facility Name: SAM'S EAST, INC DBA SAM'S PHARMACY 10-4741
  • Facility Address: 10248 BIG BEND RD
    SAINT LOUIS, MO
    ZIP 63122
  • Facility Phone: 314 965-6737
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KAYLA BECKERLE
  • NPI Number: 1598782823
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2126043
LAB Type Pharmacy
Facility Name SAM'S EAST, INC DBA SAM'S PHARMACY 10-4741
Street 10248 BIG BEND RD
City SAINT LOUIS
State MO
ZIP 63122
Phone 314 965-6737
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 KAYLA BECKERLE

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