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

Laboratory Demographics

CLIA Number: 26D2126153

Facility Name: SAM'S EAST, INC DBA SAM'S PHARMACY 10-6247

Facility Address:
8130 N CHURCH ROAD
KANSAS CITY, MO
ZIP 64158
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Facility Phone Number: 816 439-4014

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1902223019

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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
CertificateType	4
CertificateEffectiveDate	2/21/2023
CertificateExpirationDate	2/20/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024