36D2139035 CLIA NUMBER - SAM'S CLUB PHARMACY 10-6327

Laboratory Demographics

  • CLIA Code: 36D2139035
  • Facility Name: SAM'S CLUB PHARMACY 10-6327
  • Facility Address: 1040 NILES CORTLAND ROAD SE
    WARREN, OH
    ZIP 44484
  • Facility Phone: 330 856-9110
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LEIGH MAJERSKY-DOTTS
  • NPI Number: 1205930633
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 36D2139035
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-6327
Street 1040 NILES CORTLAND ROAD SE
City WARREN
State OH
ZIP 44484
Phone 330 856-9110
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 LEIGH MAJERSKY-DOTTS

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