26D2126144 CLIA NUMBER - SAM'S EAST, INC DBA SAM'S PHARMACY 10-8205

Laboratory Demographics

  • CLIA Code: 26D2126144
  • Facility Name: SAM'S EAST, INC DBA SAM'S PHARMACY 10-8205
  • Facility Address: 4512 LEMAY FERRY RD
    SAINT LOUIS, MO
    ZIP 63129
  • Facility Phone: 314 894-6893
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICHARD W. MILLER
  • NPI Number: 1316964653
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2126144
LAB Type Physician Office
Facility Name SAM'S EAST, INC DBA SAM'S PHARMACY 10-8205
Street 4512 LEMAY FERRY RD
City SAINT LOUIS
State MO
ZIP 63129
Phone 314 894-6893
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2025
Certificate Expiration Date 2/20/2027
Facility Type Physician Office
Lab Director RICHARD W. MILLER

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