34D2127074 CLIA NUMBER - SAM'S EAST, INC DBA SAM'S PHARMACY 10-4797

Laboratory Demographics

  • CLIA Code: 34D2127074
  • Facility Name: SAM'S EAST, INC DBA SAM'S PHARMACY 10-4797
  • Facility Address: 2421 SUPERCENTER DRIVE NE
    KANNAPOLIS, NC
    ZIP 28083
  • Facility Phone: (704) 792-9049
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAKOB STEWART
  • NPI Number: 1407873672
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2127074
LAB Type Pharmacy
Facility Name SAM'S EAST, INC DBA SAM'S PHARMACY 10-4797
Street 2421 SUPERCENTER DRIVE NE
City KANNAPOLIS
State NC
ZIP 28083
Phone 7047929049
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 JAKOB STEWART

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This page was last updated on: 5/15/2026