32D2133820 CLIA NUMBER - SAMS CLUB PHARMACY 10-4703

Laboratory Demographics

  • CLIA Code: 32D2133820
  • Facility Name: SAMS CLUB PHARMACY 10-4703
  • Facility Address: 10600 COORS BLVD BYPASS NW
    ALBUQUERQUE, NM
    ZIP 87114
  • Facility Phone: 505 922-0847
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SALINA SHANNON
  • NPI Number: 1891896080
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 32D2133820
LAB Type Pharmacy
Facility Name SAMS CLUB PHARMACY 10-4703
Street 10600 COORS BLVD BYPASS NW
City ALBUQUERQUE
State NM
ZIP 87114
Phone 505 922-0847
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2025
Certificate Expiration Date 7/19/2027
Facility Type Pharmacy
Lab Director SALINA SHANNON

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