36D2133262 CLIA NUMBER - SAM'S CLUB PHARMACY 10-4963

Laboratory Demographics

  • CLIA Code: 36D2133262
  • Facility Name: SAM'S CLUB PHARMACY 10-4963
  • Facility Address: 1270 N BRIDGE ST
    CHILLICOTHE, OH
    ZIP 45601
  • Facility Phone: 740 779-6716
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MELANIE LOFTUS
  • NPI Number: 1982791182
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 36D2133262
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-4963
Street 1270 N BRIDGE ST
City CHILLICOTHE
State OH
ZIP 45601
Phone 740 779-6716
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2025
Certificate Expiration Date 7/9/2027
Facility Type Pharmacy
Lab Director MELANIE LOFTUS

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