36D2139031 CLIA NUMBER - SAM'S CLUB PHARMACY 10-6308

Laboratory Demographics

  • CLIA Code: 36D2139031
  • Facility Name: SAM'S CLUB PHARMACY 10-6308
  • Facility Address: 1755 HILLIARD ROME ROAD E
    COLUMBUS, OH
    ZIP 43228
  • Facility Phone: 614 921-1105
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHERYL A. MARSHALL RPH
  • NPI Number: 1659474674
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 36D2139031
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-6308
Street 1755 HILLIARD ROME ROAD E
City COLUMBUS
State OH
ZIP 43228
Phone 614 921-1105
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2023
Certificate Expiration Date 10/29/2025
Facility Type Pharmacy
Lab Director CHERYL A. MARSHALL RPH

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