45D2127681 CLIA NUMBER - SAM'S CLUB PHARMACY 10-6421

Laboratory Demographics

  • CLIA Code: 45D2127681
  • Facility Name: SAM'S CLUB PHARMACY 10-6421
  • Facility Address: 2000 WESTVIEW BLVD
    CONROE, TX
    ZIP 77304
  • Facility Phone: 936 756-5778
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANNY D. NGUYEN
  • NPI Number: 1295825446
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 45D2127681
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-6421
Street 2000 WESTVIEW BLVD
City CONROE
State TX
ZIP 77304
Phone 936 756-5778
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 DANNY D. NGUYEN

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