36D2139033 CLIA NUMBER - SAM'S CLUB PHARMACY 10-6450

Laboratory Demographics

  • CLIA Code: 36D2139033
  • Facility Name: SAM'S CLUB PHARMACY 10-6450
  • Facility Address: 5375 N BEND ROAD
    CINCINNATI, OH
    ZIP 45247
  • Facility Phone: 513 661-8630
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARIE MORGAN
  • NPI Number: 1710088596
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 36D2139033
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-6450
Street 5375 N BEND ROAD
City CINCINNATI
State OH
ZIP 45247
Phone 513 661-8630
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 MARIE MORGAN

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