26D2126155 CLIA NUMBER - SAM'S EAST, INC DBA SAM'S PHARMACY 10-6479

Laboratory Demographics

  • CLIA Code: 26D2126155
  • Facility Name: SAM'S EAST, INC DBA SAM'S PHARMACY 10-6479
  • Facility Address: 232 SHIRLEY DRIVE
    CAPE GIRARDEAU, MO
    ZIP 63701
  • Facility Phone: 573 332-0329
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LACEY DOOLEY
  • NPI Number: 1780974832
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2126155
LAB Type Pharmacy
Facility Name SAM'S EAST, INC DBA SAM'S PHARMACY 10-6479
Street 232 SHIRLEY DRIVE
City CAPE GIRARDEAU
State MO
ZIP 63701
Phone 573 332-0329
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 LACEY DOOLEY

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