34D2127071 CLIA NUMBER - SAM'S EAST, INC DBA SAM'S PHARMACY 10-6570

Laboratory Demographics

  • CLIA Code: 34D2127071
  • Facility Name: SAM'S EAST, INC DBA SAM'S PHARMACY 10-6570
  • Facility Address: 3001 CALVARY DRIVE
    RALEIGH, NC
    ZIP 27604
  • Facility Phone: 919 874-0181
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BEVONNIE SMITH
  • NPI Number: 1063439230
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2127071
LAB Type Pharmacy
Facility Name SAM'S EAST, INC DBA SAM'S PHARMACY 10-6570
Street 3001 CALVARY DRIVE
City RALEIGH
State NC
ZIP 27604
Phone 919 874-0181
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 BEVONNIE SMITH

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