45D2127682 CLIA NUMBER - SAM'S CLUB PHARMACY 10-8281

Laboratory Demographics

  • CLIA Code: 45D2127682
  • Facility Name: SAM'S CLUB PHARMACY 10-8281
  • Facility Address: 13600 EAST FWY
    HOUSTON, TX
    ZIP 77015
  • Facility Phone: 713 450-2592
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HOANG DUNG PHAN
  • NPI Number: 1114007598
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 45D2127682
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-8281
Street 13600 EAST FWY
City HOUSTON
State TX
ZIP 77015
Phone 713 450-2592
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 HOANG DUNG PHAN

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