44D2138771 CLIA NUMBER - SAM'S CLUB PHARMACY 10-8292

Laboratory Demographics

  • CLIA Code: 44D2138771
  • Facility Name: SAM'S CLUB PHARMACY 10-8292
  • Facility Address: 2150 COVINGTON PIKE
    MEMPHIS, TN
    ZIP 38128
  • Facility Phone: 901 382-1616
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALEX BROWER
  • NPI Number: 1194805572
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 44D2138771
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-8292
Street 2150 COVINGTON PIKE
City MEMPHIS
State TN
ZIP 38128
Phone 901 382-1616
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/24/2023
Certificate Expiration Date 10/23/2025
Facility Type Pharmacy
Lab Director ALEX BROWER

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