34D2127283 CLIA NUMBER - SAM'S EAST, INC DBA SAM'S PHARMACY 10-6402

Laboratory Demographics

  • CLIA Code: 34D2127283
  • Facility Name: SAM'S EAST, INC DBA SAM'S PHARMACY 10-6402
  • Facility Address: 4418 W WENDOVER AVENUE
    GREENSBORO, NC
    ZIP 27407
  • Facility Phone: 479 258-6734
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PRESTON TRIPLETT
  • NPI Number: 1780601955
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2127283
LAB Type Pharmacy
Facility Name SAM'S EAST, INC DBA SAM'S PHARMACY 10-6402
Street 4418 W WENDOVER AVENUE
City GREENSBORO
State NC
ZIP 27407
Phone 479 258-6734
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 PRESTON TRIPLETT

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