26D2126448 CLIA NUMBER - SAM'S EAST, INC DBA SAM'S PHARMACY10-8251

Laboratory Demographics

  • CLIA Code: 26D2126448
  • Facility Name: SAM'S EAST, INC DBA SAM'S PHARMACY10-8251
  • Facility Address: 2855 VETERANS MEMORIAL PARKWAY
    SAINT CHARLES, MO
    ZIP 63303
  • Facility Phone: 636 925-1143
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KELSIE HUTSON
  • NPI Number: 1144247479
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2126448
LAB Type Pharmacy
Facility Name SAM'S EAST, INC DBA SAM'S PHARMACY10-8251
Street 2855 VETERANS MEMORIAL PARKWAY
City SAINT CHARLES
State MO
ZIP 63303
Phone 636 925-1143
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 KELSIE HUTSON

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