45D2123620 CLIA NUMBER - SAM'S CLUB PHARMACY 10-8274

Laboratory Demographics

  • CLIA Code: 45D2123620
  • Facility Name: SAM'S CLUB PHARMACY 10-8274
  • Facility Address: 12205 WEST RD
    HOUSTON, TX
    ZIP 77065
  • Facility Phone: 281 955-2071
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BELINDA A. PURSLEY
  • NPI Number: 1093804312
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 45D2123620
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-8274
Street 12205 WEST RD
City HOUSTON
State TX
ZIP 77065
Phone 281 955-2071
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2024
Certificate Expiration Date 12/26/2026
Facility Type Pharmacy
Lab Director BELINDA A. PURSLEY

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