34D2127066 CLIA NUMBER - SAM'S EAST, INC DBA SAM'S PHARMACY 10-6355

Laboratory Demographics

  • CLIA Code: 34D2127066
  • Facility Name: SAM'S EAST, INC DBA SAM'S PHARMACY 10-6355
  • Facility Address: 2435 US HIGHWAY70 SE
    HICKORY, NC
    ZIP 28602
  • Facility Phone: 479 258-6734
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KORTNI GARDNER
  • NPI Number: 1265450001
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2127066
LAB Type Pharmacy
Facility Name SAM'S EAST, INC DBA SAM'S PHARMACY 10-6355
Street 2435 US HIGHWAY70 SE
City HICKORY
State NC
ZIP 28602
Phone 479 258-6734
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2025
Certificate Expiration Date 3/7/2027
Facility Type Pharmacy
Lab Director KORTNI GARDNER

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