36D2135393 CLIA NUMBER - SAM'S CLUB PHARMACY 10-6242

Laboratory Demographics

  • CLIA Code: 36D2135393
  • Facility Name: SAM'S CLUB PHARMACY 10-6242
  • Facility Address: 5870 SAWMILL ROAD
    DUBLIN, OH
    ZIP 43017
  • Facility Phone: 614 760-9222
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MS. ABBEY M. RYAN
  • NPI Number: 1760586838
  • Taxonomy: 332H00000X - Eyewear Supplier

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2135393
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-6242
Street 5870 SAWMILL ROAD
City DUBLIN
State OH
ZIP 43017
Phone 614 760-9222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2025
Certificate Expiration Date 8/21/2027
Facility Type Pharmacy
Lab Director MS. ABBEY M. RYAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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