26D2126146 CLIA NUMBER - SAM'S EAST, INC DBA SAM'S PHARMACY 10-4875

Laboratory Demographics

  • CLIA Code: 26D2126146
  • Facility Name: SAM'S EAST, INC DBA SAM'S PHARMACY 10-4875
  • Facility Address: 3055 BEAR CREEK DR
    WENTZVILLE, MO
    ZIP 63385
  • Facility Phone: 636 698-9781
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTIE HOLLINGER-SIMPSON
  • NPI Number: 1790034528
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2126146
LAB Type Pharmacy
Facility Name SAM'S EAST, INC DBA SAM'S PHARMACY 10-4875
Street 3055 BEAR CREEK DR
City WENTZVILLE
State MO
ZIP 63385
Phone 636 698-9781
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 Pharmacy
Lab Director CHRISTIE HOLLINGER-SIMPSON

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