45D2123944 CLIA NUMBER - SAM'S CLUB PHARMACY 10-8244

Laboratory Demographics

  • CLIA Code: 45D2123944
  • Facility Name: SAM'S CLUB PHARMACY 10-8244
  • Facility Address: 11101 FUQUA ST
    HOUSTON, TX
    ZIP 77089
  • Facility Phone: 713 378-9584
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RALPH G. BUNCH
  • NPI Number: 1316028087
  • Taxonomy: 332H00000X - Eyewear Supplier

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2123944
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-8244
Street 11101 FUQUA ST
City HOUSTON
State TX
ZIP 77089
Phone 713 378-9584
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 RALPH G. BUNCH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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