36D2133281 CLIA NUMBER - SAM'S CLUB PHARMACY 10-6528

Laboratory Demographics

  • CLIA Code: 36D2133281
  • Facility Name: SAM'S CLUB PHARMACY 10-6528
  • Facility Address: 815 CLEPPER LN
    CINCINNATI, OH
    ZIP 45245
  • Facility Phone: 513 753-9280
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAWRENCE VIRGIN
  • NPI Number: 1609977487
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 36D2133281
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-6528
Street 815 CLEPPER LN
City CINCINNATI
State OH
ZIP 45245
Phone 513 753-9280
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 LAWRENCE VIRGIN

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