36D2133279 CLIA NUMBER - SAM'S CLUB PHARMACY 10-4750

Laboratory Demographics

CLIA Number: 36D2133279

Facility Name: SAM'S CLUB PHARMACY 10-4750

Facility Address:
1189 BUCHHOLZER BLVD
CUYAHOGA FALLS, OH
ZIP 44221
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Facility Phone Number: 330 929-4092

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1033214143

Taxonomy: 156FX1800X - Technician/Technologist
Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

CLIA Record

Field Name	Field Value
CLIA Number	36D2133279
LAB Type	Pharmacy
Facility Name	SAM'S CLUB PHARMACY 10-4750
Street	1189 BUCHHOLZER BLVD
City	CUYAHOGA FALLS
State	OH
ZIP	44221
Phone	330 929-4092
CertificateType	4
CertificateEffectiveDate	7/10/2023
CertificateExpirationDate	7/9/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024