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

Laboratory Demographics

  • CLIA Code: 45D2126265
  • Facility Name: SAM'S CLUB PHARMACY 10-6244
  • Facility Address: 8351 ANDERSON BLVD
    FORT WORTH, TX
    ZIP 76120
  • Facility Phone: 817 459-4984
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RAUL E. NAJERA
  • NPI Number: 1396838579
  • Taxonomy: 332H00000X - Eyewear Supplier

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2025
Certificate Expiration Date 2/21/2027
Facility Type Pharmacy
Lab Director RAUL E. NAJERA

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