44D2133696 CLIA NUMBER - SAM'S CLUB PHARMACY 10-6249

Laboratory Demographics

  • CLIA Code: 44D2133696
  • Facility Name: SAM'S CLUB PHARMACY 10-6249
  • Facility Address: 3070 MALLORY LANE
    FRANKLIN, TN
    ZIP 37067
  • Facility Phone: 615 778-9993
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRIS L. PERRY
  • NPI Number: 1245337070
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 44D2133696
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-6249
Street 3070 MALLORY LANE
City FRANKLIN
State TN
ZIP 37067
Phone 615 778-9993
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2025
Certificate Expiration Date 7/17/2027
Facility Type Pharmacy
Lab Director CHRIS L. PERRY

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