36D2133265 CLIA NUMBER - SAM'S CLUB PHARMACY 10-4846

Laboratory Demographics

  • CLIA Code: 36D2133265
  • Facility Name: SAM'S CLUB PHARMACY 10-4846
  • Facility Address: 5600 EMERALD CT
    MENTOR, OH
    ZIP 44060
  • Facility Phone: 440 352-7654
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHARESE SFERRA
  • NPI Number: 1750484796
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 36D2133265
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-4846
Street 5600 EMERALD CT
City MENTOR
State OH
ZIP 44060
Phone 440 352-7654
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 CHARESE SFERRA

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