44D2137720 CLIA NUMBER - SAM'S CLUB PHARMACY 10-6256

Laboratory Demographics

  • CLIA Code: 44D2137720
  • Facility Name: SAM'S CLUB PHARMACY 10-6256
  • Facility Address: 7475 WINCHESTER ROAD
    MEMPHIS, TN
    ZIP 38125
  • Facility Phone: 901 754-0865
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CARMEN C. DANCE
  • NPI Number: 1457441693
  • Taxonomy: 156FX1800X - Technician/Technologist

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CLIA Record

Field Name Field Value
CLIA Number 44D2137720
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-6256
Street 7475 WINCHESTER ROAD
City MEMPHIS
State TN
ZIP 38125
Phone 901 754-0865
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2025
Certificate Expiration Date 10/2/2027
Facility Type Pharmacy
Lab Director CARMEN C. DANCE

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