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

Laboratory Demographics

  • CLIA Code: 36D2140016
  • Facility Name: SAM'S CLUB PHARMACY 10-6307
  • Facility Address: 3950 MORSE ROAD
    COLUMBUS, OH
    ZIP 43219
  • Facility Phone: 614 428-5856
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KATHRYN WATKINS
  • NPI Number: 1053414003
  • Taxonomy: 332H00000X - Eyewear Supplier

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2023
Certificate Expiration Date 11/13/2025
Facility Type Pharmacy
Lab Director KATHRYN WATKINS

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