45D2126139 CLIA NUMBER - SAM'S CLUB PHARMACY 10-8267

Laboratory Demographics

  • CLIA Code: 45D2126139
  • Facility Name: SAM'S CLUB PHARMACY 10-8267
  • Facility Address: 4833 SOUTH PADRE ISLAND DRIVE
    CORPUS CHRISTI, TX
    ZIP 78411
  • Facility Phone: 361 857-0151
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GABRIEL GARZA
  • NPI Number: 1134205339
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 45D2126139
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-8267
Street 4833 SOUTH PADRE ISLAND DRIVE
City CORPUS CHRISTI
State TX
ZIP 78411
Phone 361 857-0151
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2025
Certificate Expiration Date 2/20/2027
Facility Type Pharmacy
Lab Director GABRIEL GARZA

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