45D2126168 CLIA NUMBER - SAM'S CLUB PHARMACY 10-6338

Laboratory Demographics

  • CLIA Code: 45D2126168
  • Facility Name: SAM'S CLUB PHARMACY 10-6338
  • Facility Address: 1405 EARL RUDDER FWY S
    COLLEGE STATION, TX
    ZIP 77845
  • Facility Phone: 979 693-2828
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARY L. TORRES
  • NPI Number: 1356437164
  • Taxonomy: 332H00000X - Eyewear Supplier

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2126168
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-6338
Street 1405 EARL RUDDER FWY S
City COLLEGE STATION
State TX
ZIP 77845
Phone 979 693-2828
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 MARY L. TORRES

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