36D2140016 CLIA NUMBER - SAM'S CLUB PHARMACY 10-6307

Laboratory Demographics

CLIA Number: 36D2140016

Facility Name: SAM'S CLUB PHARMACY 10-6307

Facility Address:
3950 MORSE ROAD
COLUMBUS, OH
ZIP 43219
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Facility Phone Number: 614 428-5856

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1053414003

Taxonomy: 156FX1800X - Technician/Technologist
Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

CLIA Record

Field Name	Field Value
CLIA Number	36D2140016
LAB Type	Pharmacy
Facility Name	SAM'S CLUB PHARMACY 10-6307
Street	3950 MORSE ROAD
City	COLUMBUS
State	OH
ZIP	43219
Phone	614 428-5856
CertificateType	4
CertificateEffectiveDate	11/14/2023
CertificateExpirationDate	11/13/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024