26D2126153 CLIA NUMBER - SAM'S EAST, INC DBA SAM'S PHARMACY 10-6247

Laboratory Demographics

  • CLIA Code: 26D2126153
  • Facility Name: SAM'S EAST, INC DBA SAM'S PHARMACY 10-6247
  • Facility Address: 8130 N CHURCH ROAD
    KANSAS CITY, MO
    ZIP 64158
  • Facility Phone: 816 439-4014
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GRETTA BOGAARD
  • NPI Number: 1902223019
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2126153
LAB Type Pharmacy
Facility Name SAM'S EAST, INC DBA SAM'S PHARMACY 10-6247
Street 8130 N CHURCH ROAD
City KANSAS CITY
State MO
ZIP 64158
Phone 816 439-4014
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 GRETTA BOGAARD

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