26D2126156 CLIA NUMBER - SAM'S EAST, INC DBA SAM'S PHARMACY 10-6415

Laboratory Demographics

  • CLIA Code: 26D2126156
  • Facility Name: SAM'S EAST, INC DBA SAM'S PHARMACY 10-6415
  • Facility Address: 3536 HAMMONS BLVD
    JOPLIN, MO
    ZIP 64804
  • Facility Phone: 314 644-7734
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRYANT T. OVERSTREET
  • NPI Number: 1043237373
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2126156
LAB Type Pharmacy
Facility Name SAM'S EAST, INC DBA SAM'S PHARMACY 10-6415
Street 3536 HAMMONS BLVD
City JOPLIN
State MO
ZIP 64804
Phone 314 644-7734
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 BRYANT T. OVERSTREET

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