34D2127068 CLIA NUMBER - SAM'S EAST, INC DBA SAM'S PHARMACY 10-4798

Laboratory Demographics

  • CLIA Code: 34D2127068
  • Facility Name: SAM'S EAST, INC DBA SAM'S PHARMACY 10-4798
  • Facility Address: 284 SUMMIT SQUARE BOULEVARD
    WINSTON-SALEM, NC
    ZIP 27105
  • Facility Phone: (479) 258-6734
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TUAN LE
  • NPI Number: 1871510040
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2127068
LAB Type Pharmacy
Facility Name SAM'S EAST, INC DBA SAM'S PHARMACY 10-4798
Street 284 SUMMIT SQUARE BOULEVARD
City WINSTON-SALEM
State NC
ZIP 27105
Phone 4792586734
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 TUAN LE

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This page was last updated on: 5/18/2026