45D2127670 CLIA NUMBER - SAM'S CLUB PHARMACY 10-4769

Laboratory Demographics

  • CLIA Code: 45D2127670
  • Facility Name: SAM'S CLUB PHARMACY 10-4769
  • Facility Address: 5310 S RICE AVE
    HOUSTON, TX
    ZIP 77081
  • Facility Phone: 832 778-9807
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMITA K. PATEL
  • NPI Number: 1235212820
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 45D2127670
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-4769
Street 5310 S RICE AVE
City HOUSTON
State TX
ZIP 77081
Phone 832 778-9807
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 AMITA K. PATEL

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