26D2126058 CLIA NUMBER - SAM'S EAST, INC DBA SAM'S PHARMACY 10-6252

Laboratory Demographics

  • CLIA Code: 26D2126058
  • Facility Name: SAM'S EAST, INC DBA SAM'S PHARMACY 10-6252
  • Facility Address: 196 THF BLVD
    CHESTERFIELD, MO
    ZIP 63005
  • Facility Phone: 636 728-0372
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NICHOLAS POLLMANN
  • NPI Number: 1417974742
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2126058
LAB Type Pharmacy
Facility Name SAM'S EAST, INC DBA SAM'S PHARMACY 10-6252
Street 196 THF BLVD
City CHESTERFIELD
State MO
ZIP 63005
Phone 636 728-0372
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 NICHOLAS POLLMANN

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