45D2127649 CLIA NUMBER - SAM'S CLUB PHARMACY 10-4763

Laboratory Demographics

  • CLIA Code: 45D2127649
  • Facility Name: SAM'S CLUB PHARMACY 10-4763
  • Facility Address: 351 HIGHWAY 6
    SUGAR LAND, TX
    ZIP 77478
  • Facility Phone: 281 295-2525
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAUREN Y. NGUYEN
  • NPI Number: 1922195528
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 45D2127649
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-4763
Street 351 HIGHWAY 6
City SUGAR LAND
State TX
ZIP 77478
Phone 281 295-2525
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 LAUREN Y. NGUYEN

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