45D2123943 CLIA NUMBER - SAM'S CLUB PHARMACY 10-8246

Laboratory Demographics

  • CLIA Code: 45D2123943
  • Facility Name: SAM'S CLUB PHARMACY 10-8246
  • Facility Address: 12300 SOUTHWEST FREEWAY
    STAFFORD, TX
    ZIP 77477
  • Facility Phone: 281 295-2500
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THANH N. NGUYEN
  • NPI Number: 1013004357
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 45D2123943
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-8246
Street 12300 SOUTHWEST FREEWAY
City STAFFORD
State TX
ZIP 77477
Phone 281 295-2500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2025
Certificate Expiration Date 1/4/2027
Facility Type Pharmacy
Lab Director THANH N. NGUYEN

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