44D2133705 CLIA NUMBER - SAM'S CLUB PHARMACY 10-6260

Laboratory Demographics

  • CLIA Code: 44D2133705
  • Facility Name: SAM'S CLUB PHARMACY 10-6260
  • Facility Address: 8480 HWY 64
    BARTLETT, TN
    ZIP 38133
  • Facility Phone: 901 384-9406
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHAD M. BURKE
  • NPI Number: 1477649242
  • Taxonomy: 156FX1800X - Technician/Technologist

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CLIA Record

Field Name Field Value
CLIA Number 44D2133705
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-6260
Street 8480 HWY 64
City BARTLETT
State TN
ZIP 38133
Phone 901 384-9406
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 CHAD M. BURKE

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