45D2123119 CLIA NUMBER - SAM'S CLUB PHARMACY 10-8242

Laboratory Demographics

CLIA Number: 45D2123119

Facility Name: SAM'S CLUB PHARMACY 10-8242

Facility Address:
12000 MCCREE ROAD
DALLAS, TX
ZIP 75238
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Facility Phone Number: 214 461-8777

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1932281136

Taxonomy: 156FX1800X - Technician/Technologist
Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

CLIA Record

Field Name	Field Value
CLIA Number	45D2123119
LAB Type	Pharmacy
Facility Name	SAM'S CLUB PHARMACY 10-8242
Street	12000 MCCREE ROAD
City	DALLAS
State	TX
ZIP	75238
Phone	214 461-8777
CertificateType	4
CertificateEffectiveDate	12/13/2022
CertificateExpirationDate	12/12/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024