45D2127645 CLIA NUMBER - SAM'S CLUB PHARMACY 10-4843

Laboratory Demographics

  • CLIA Code: 45D2127645
  • Facility Name: SAM'S CLUB PHARMACY 10-4843
  • Facility Address: 15800 S FREEWAY
    PEARLAND, TX
    ZIP 77584
  • Facility Phone: 713 986-0080
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BINH MAI
  • NPI Number: 1487909834
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 45D2127645
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-4843
Street 15800 S FREEWAY
City PEARLAND
State TX
ZIP 77584
Phone 713 986-0080
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 BINH MAI

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