34D2127067 CLIA NUMBER - SAM'S EAST, INC DBA SAM'S PHARMACY 10-8218

Laboratory Demographics

  • CLIA Code: 34D2127067
  • Facility Name: SAM'S EAST, INC DBA SAM'S PHARMACY 10-8218
  • Facility Address: 1450 SKIBO ROAD
    FAYETTEVILLE, NC
    ZIP 28303
  • Facility Phone: 910 864-2006
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EMILY SUSAN ROSS
  • NPI Number: 1083631220
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2127067
LAB Type Pharmacy
Facility Name SAM'S EAST, INC DBA SAM'S PHARMACY 10-8218
Street 1450 SKIBO ROAD
City FAYETTEVILLE
State NC
ZIP 28303
Phone 910 864-2006
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 EMILY SUSAN ROSS

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