26D2126444 CLIA NUMBER - SAM'S EAST, INC DBA SAM'S PHARMACY 10-8182

Laboratory Demographics

  • CLIA Code: 26D2126444
  • Facility Name: SAM'S EAST, INC DBA SAM'S PHARMACY 10-8182
  • Facility Address: 13455 MANCHESTER RD
    SAINT LOUIS, MO
    ZIP 63131
  • Facility Phone: 314 822-2006
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KAYLA ODANIEL
  • NPI Number: 1760409023
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D2126444
LAB Type Pharmacy
Facility Name SAM'S EAST, INC DBA SAM'S PHARMACY 10-8182
Street 13455 MANCHESTER RD
City SAINT LOUIS
State MO
ZIP 63131
Phone 314 822-2006
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 KAYLA ODANIEL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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