26D2126044 CLIA NUMBER - SAM'S EAST, INC DBA SAM'S PHARMACY 10-4920

Laboratory Demographics

  • CLIA Code: 26D2126044
  • Facility Name: SAM'S EAST, INC DBA SAM'S PHARMACY 10-4920
  • Facility Address: 5201 N BELT HWY STE A
    SAINT JOSEPH, MO
    ZIP 64506
  • Facility Phone: 816 279-8081
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WARREN LANCE HUGHES
  • NPI Number: 1689691917
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2126044
LAB Type Pharmacy
Facility Name SAM'S EAST, INC DBA SAM'S PHARMACY 10-4920
Street 5201 N BELT HWY STE A
City SAINT JOSEPH
State MO
ZIP 64506
Phone 816 279-8081
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 WARREN LANCE HUGHES

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