45D2127642 CLIA NUMBER - SAM'S CLUB PHARMACY 10-4764

Laboratory Demographics

  • CLIA Code: 45D2127642
  • Facility Name: SAM'S CLUB PHARMACY 10-4764
  • Facility Address: 20424 KATY FREEWAY
    KATY, TX
    ZIP 77449
  • Facility Phone: 281 578-5593
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HODA J. EL-HAJ
  • NPI Number: 1144316290
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 45D2127642
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-4764
Street 20424 KATY FREEWAY
City KATY
State TX
ZIP 77449
Phone 281 578-5593
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 HODA J. EL-HAJ

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