45D2126178 CLIA NUMBER - SAM'S CLUB PHARMACY 10-8264

Laboratory Demographics

  • CLIA Code: 45D2126178
  • Facility Name: SAM'S CLUB PHARMACY 10-8264
  • Facility Address: 3150 SW MILITARY DRIVE
    SAN ANTONIO, TX
    ZIP 78224
  • Facility Phone: 210 932-0906
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SARINA N. WILLAIMS
  • NPI Number: 1871679068
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 45D2126178
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-8264
Street 3150 SW MILITARY DRIVE
City SAN ANTONIO
State TX
ZIP 78224
Phone 210 932-0906
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 SARINA N. WILLAIMS

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