30D2132576 CLIA NUMBER - SAM'S CLUB PHARMACY 10-6386

Laboratory Demographics

  • CLIA Code: 30D2132576
  • Facility Name: SAM'S CLUB PHARMACY 10-6386
  • Facility Address: 304 SHEEP DAVIS RD
    CONCORD, NH
    ZIP 03301
  • Facility Phone: 603 224-8954
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KATHRYN LAPKOWICZ
  • NPI Number: 1154698884
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 30D2132576
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-6386
Street 304 SHEEP DAVIS RD
City CONCORD
State NH
ZIP 03301
Phone 603 224-8954
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2025
Certificate Expiration Date 6/21/2027
Facility Type Pharmacy
Lab Director KATHRYN LAPKOWICZ

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