45D2125350 CLIA NUMBER - SAM 'S CLUB PHARMACY 10-4906

Laboratory Demographics

  • CLIA Code: 45D2125350
  • Facility Name: SAM 'S CLUB PHARMACY 10-4906
  • Facility Address: 1670 W UNIVERSITY DRIVE
    MCKINNEY, TX
    ZIP 75069
  • Facility Phone: 972 562-4401
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTEN NEAL
  • NPI Number: 1760543854
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 45D2125350
LAB Type Pharmacy
Facility Name SAM 'S CLUB PHARMACY 10-4906
Street 1670 W UNIVERSITY DRIVE
City MCKINNEY
State TX
ZIP 75069
Phone 972 562-4401
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/6/2025
Certificate Expiration Date 2/5/2027
Facility Type Pharmacy
Lab Director KRISTEN NEAL

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