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

Laboratory Demographics

  • CLIA Code: 26D2126438
  • Facility Name: SAM'S EAST, INC DBA SAM'S PHARMACY 10-8125
  • Facility Address: 10735 W FLORISSANT AVE
    SAINT LOUIS, MO
    ZIP 63136
  • Facility Phone: 314 522-3120
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: IBRAHIM MOHSEN
  • NPI Number: 1962429290
  • Taxonomy: 3336C0003X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Pharmacy
Lab Director IBRAHIM MOHSEN

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