26D2126158 CLIA NUMBER - SAM'S EAST, INC DBA SAM'S PHARMACY 10-8207

Laboratory Demographics

  • CLIA Code: 26D2126158
  • Facility Name: SAM'S EAST, INC DBA SAM'S PHARMACY 10-8207
  • Facility Address: 5110 N OAK TRAFFICWAY
    KANSAS CITY, MO
    ZIP 64118
  • Facility Phone: 816 452-7401
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NU NGUYEN
  • NPI Number: 1053338384
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2126158
LAB Type Pharmacy
Facility Name SAM'S EAST, INC DBA SAM'S PHARMACY 10-8207
Street 5110 N OAK TRAFFICWAY
City KANSAS CITY
State MO
ZIP 64118
Phone 816 452-7401
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 NU NGUYEN

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