44D2133707 CLIA NUMBER - SAM'S CLUB PHARMACY 10-6501

Laboratory Demographics

  • CLIA Code: 44D2133707
  • Facility Name: SAM'S CLUB PHARMACY 10-6501
  • Facility Address: 125 JOHN R RICE BLVD
    MURFREESBORO, TN
    ZIP 37129
  • Facility Phone: 615 895-9979
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANNY R. BRASHEAR
  • NPI Number: 1447340690
  • Taxonomy: 156FX1800X - Technician/Technologist

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CLIA Record

Field Name Field Value
CLIA Number 44D2133707
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-6501
Street 125 JOHN R RICE BLVD
City MURFREESBORO
State TN
ZIP 37129
Phone 615 895-9979
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 DANNY R. BRASHEAR

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