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26D2126438 CLIA NUMBER - SAM'S EAST, INC DBA SAM'S PHARMACY 10-8125

Laboratory Demographics

CLIA Number: 26D2126438

Facility Name: SAM'S EAST, INC DBA SAM'S PHARMACY 10-8125

Facility Address:
10735 W FLORISSANT AVE
SAINT LOUIS, MO
ZIP 63136
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Facility Phone Number: 314 522-3120

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1962429290

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 26D2126438
LAB Type Pharmacy
Facility Name SAM'S EAST, INC DBA SAM'S PHARMACY 10-8125
Street 10735 W FLORISSANT AVE
City SAINT LOUIS
State MO
ZIP 63136
Phone 314 522-3120
CertificateType 4
CertificateEffectiveDate 2/28/2023
CertificateExpirationDate 2/27/2025
FacilityType Waiver

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