45D2126179 CLIA NUMBER - SAM'S CLUB PHARMACY 10-6269

Laboratory Demographics

  • CLIA Code: 45D2126179
  • Facility Name: SAM'S CLUB PHARMACY 10-6269
  • Facility Address: 621 NORTH EXPRESSWAY 77
    HARLINGEN, TX
    ZIP 78550
  • Facility Phone: 956 507-7315
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALEENA ROMY
  • NPI Number: 1851715999
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2126179
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-6269
Street 621 NORTH EXPRESSWAY 77
City HARLINGEN
State TX
ZIP 78550
Phone 956 507-7315
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 ALEENA ROMY

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