32D2133060 CLIA NUMBER - SAM'S CLUB PHARMACY 10-6672

Laboratory Demographics

  • CLIA Code: 32D2133060
  • Facility Name: SAM'S CLUB PHARMACY 10-6672
  • Facility Address: 300 EUBANK BLVD NE
    ALBUQUERQUE, NM
    ZIP 87123
  • Facility Phone: 505 291-0998
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSHUA BRANNAN
  • NPI Number: 1821180753
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 32D2133060
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-6672
Street 300 EUBANK BLVD NE
City ALBUQUERQUE
State NM
ZIP 87123
Phone 505 291-0998
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/5/2025
Certificate Expiration Date 7/4/2027
Facility Type Pharmacy
Lab Director JOSHUA BRANNAN

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