45D2123628 CLIA NUMBER - SAM'S CLUB PHARMACY 10-8126

Laboratory Demographics

  • CLIA Code: 45D2123628
  • Facility Name: SAM'S CLUB PHARMACY 10-8126
  • Facility Address: 3570 W ALTON GLOOR BLVD
    BROWNSVILLE, TX
    ZIP 78520
  • Facility Phone: (956) 350-9938
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMIE RAMOS

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CLIA Record

Field Name Field Value
CLIA Number 45D2123628
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-8126
Street 3570 W ALTON GLOOR BLVD
City BROWNSVILLE
State TX
ZIP 78520
Phone 9563509938
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 JAMIE RAMOS

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This page was last updated on: 5/18/2026