45D2127639 CLIA NUMBER - SAM'S CLUB PHARMACY 10-6367

Laboratory Demographics

  • CLIA Code: 45D2127639
  • Facility Name: SAM'S CLUB PHARMACY 10-6367
  • Facility Address: 9665 FM 1960 BYPASS
    HUMBLE, TX
    ZIP 77338
  • Facility Phone: 281 548-1211
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PAUL T. PHAM
  • NPI Number: 1154401222
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 45D2127639
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-6367
Street 9665 FM 1960 BYPASS
City HUMBLE
State TX
ZIP 77338
Phone 281 548-1211
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2025
Certificate Expiration Date 3/15/2027
Facility Type Pharmacy
Lab Director PAUL T. PHAM

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