34D2127277 CLIA NUMBER - SAM'S EAST, INC DBA SAM'S PHARMACY 10-6414

Laboratory Demographics

  • CLIA Code: 34D2127277
  • Facility Name: SAM'S EAST, INC DBA SAM'S PHARMACY 10-6414
  • Facility Address: 3540 E FRANKLIN BOULEVARD
    GASTONIA, NC
    ZIP 28056
  • Facility Phone: 704 866-0121
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RONALD J. CEHELSKY
  • NPI Number: 1417974684
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2127277
LAB Type Pharmacy
Facility Name SAM'S EAST, INC DBA SAM'S PHARMACY 10-6414
Street 3540 E FRANKLIN BOULEVARD
City GASTONIA
State NC
ZIP 28056
Phone 704 866-0121
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2025
Certificate Expiration Date 3/11/2027
Facility Type Pharmacy
Lab Director RONALD J. CEHELSKY

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