45D2123047 CLIA NUMBER - SAM'S CLUB PHARMACY 10-8299

Laboratory Demographics

  • CLIA Code: 45D2123047
  • Facility Name: SAM'S CLUB PHARMACY 10-8299
  • Facility Address: 301 COIT ROAD
    PLANO, TX
    ZIP 75075
  • Facility Phone: 972 519-0296
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SYED S. KAZMI
  • NPI Number: 1679660104
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 45D2123047
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-8299
Street 301 COIT ROAD
City PLANO
State TX
ZIP 75075
Phone 972 519-0296
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2024
Certificate Expiration Date 12/11/2026
Facility Type Pharmacy
Lab Director SYED S. KAZMI

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