34D2130342 CLIA NUMBER - SAM'S EAST, INC DBA SAM'S PHARMACY 10-6443

Laboratory Demographics

  • CLIA Code: 34D2130342
  • Facility Name: SAM'S EAST, INC DBA SAM'S PHARMACY 10-6443
  • Facility Address: 2811 N PARK DRIVE
    GOLDSBORO, NC
    ZIP 27534
  • Facility Phone: 919 778-2591
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KANDICE H. BAYE
  • NPI Number: 1336582097
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2130342
LAB Type Pharmacy
Facility Name SAM'S EAST, INC DBA SAM'S PHARMACY 10-6443
Street 2811 N PARK DRIVE
City GOLDSBORO
State NC
ZIP 27534
Phone 919 778-2591
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2025
Certificate Expiration Date 5/7/2027
Facility Type Pharmacy
Lab Director KANDICE H. BAYE

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