26D2126050 CLIA NUMBER - SAM'S EAST, INC DBA SAM'S PHARMACY 10-4985

Laboratory Demographics

  • CLIA Code: 26D2126050
  • Facility Name: SAM'S EAST, INC DBA SAM'S PHARMACY 10-4985
  • Facility Address: 745 W EL CAMINO ALTO ST
    SPRINGFIELD, MO
    ZIP 65810
  • Facility Phone: 417 881-9670
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TAMMY KARR
  • NPI Number: 1225263171
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2126050
LAB Type Pharmacy
Facility Name SAM'S EAST, INC DBA SAM'S PHARMACY 10-4985
Street 745 W EL CAMINO ALTO ST
City SPRINGFIELD
State MO
ZIP 65810
Phone 417 881-9670
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 TAMMY KARR

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