44D2134394 CLIA NUMBER - SAM'S CLUB PHARMACY 10-6572

Laboratory Demographics

  • CLIA Code: 44D2134394
  • Facility Name: SAM'S CLUB PHARMACY 10-6572
  • Facility Address: 2920 KNOXVILLE CENTER DRIVE
    KNOXVILLE, TN
    ZIP 37924
  • Facility Phone: 865 637-0643
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GINGER R. PHILLIPS
  • NPI Number: 1447355219
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 44D2134394
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-6572
Street 2920 KNOXVILLE CENTER DRIVE
City KNOXVILLE
State TN
ZIP 37924
Phone 865 637-0643
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2025
Certificate Expiration Date 7/31/2027
Facility Type Pharmacy
Lab Director GINGER R. PHILLIPS

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