45D2126265 CLIA NUMBER - SAM'S CLUB PHARMACY 10-6244

Laboratory Demographics

CLIA Number: 45D2126265

Facility Name: SAM'S CLUB PHARMACY 10-6244

Facility Address:
8351 ANDERSON BLVD
FORT WORTH, TX
ZIP 76120
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Facility Phone Number: 817 459-4984

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1396838579

Taxonomy: 156FX1800X - Technician/Technologist
Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

CLIA Record

Field Name	Field Value
CLIA Number	45D2126265
LAB Type	Pharmacy
Facility Name	SAM'S CLUB PHARMACY 10-6244
Street	8351 ANDERSON BLVD
City	FORT WORTH
State	TX
ZIP	76120
Phone	817 459-4984
CertificateType	4
CertificateEffectiveDate	2/22/2023
CertificateExpirationDate	2/21/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024