45D2123118 CLIA NUMBER - SAM'S CLUB PHARMACY 10-8268

Laboratory Demographics

  • CLIA Code: 45D2123118
  • Facility Name: SAM'S CLUB PHARMACY 10-8268
  • Facility Address: 6375 NE LOOP 820
    NORTH RICHLAND HILLS, TX
    ZIP 76180
  • Facility Phone: 817 428-3700
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MANZOOR AMAN
  • NPI Number: 1871682716
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 45D2123118
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-8268
Street 6375 NE LOOP 820
City NORTH RICHLAND HILLS
State TX
ZIP 76180
Phone 817 428-3700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2024
Certificate Expiration Date 12/12/2026
Facility Type Pharmacy
Lab Director MANZOOR AMAN

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