45D2125362 CLIA NUMBER - SAM'S CLUB PHARMACY 10-4905

Laboratory Demographics

  • CLIA Code: 45D2125362
  • Facility Name: SAM'S CLUB PHARMACY 10-4905
  • Facility Address: 2850 W UNIVERSITY DRIVE
    DENTON, TX
    ZIP 76201
  • Facility Phone: 940 898-8780
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MEGHA V. SHAH
  • NPI Number: 1124334115
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 45D2125362
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-4905
Street 2850 W UNIVERSITY DRIVE
City DENTON
State TX
ZIP 76201
Phone 940 898-8780
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 MEGHA V. SHAH

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