45D2127680 CLIA NUMBER - SAM'S CLUB PAHRMACY 10-8245

Laboratory Demographics

  • CLIA Code: 45D2127680
  • Facility Name: SAM'S CLUB PAHRMACY 10-8245
  • Facility Address: 325 E RICHEY RD
    HOUSTON, TX
    ZIP 77073
  • Facility Phone: 281 821-8777
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANIELLE L. MATHER
  • NPI Number: 1255412938
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 45D2127680
LAB Type Pharmacy
Facility Name SAM'S CLUB PAHRMACY 10-8245
Street 325 E RICHEY RD
City HOUSTON
State TX
ZIP 77073
Phone 281 821-8777
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 DANIELLE L. MATHER

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