46D2133191 CLIA NUMBER - SAM'S CLUB PHARMACY 10-6683

Laboratory Demographics

  • CLIA Code: 46D2133191
  • Facility Name: SAM'S CLUB PHARMACY 10-6683
  • Facility Address: 6525 S STATE ST
    MURRAY, UT
    ZIP 84107
  • Facility Phone: 801 743-6474
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TONY K. FINK
  • NPI Number: 1316036288
  • Taxonomy: 332H00000X - Eyewear Supplier

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 46D2133191
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-6683
Street 6525 S STATE ST
City MURRAY
State UT
ZIP 84107
Phone 801 743-6474
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/7/2025
Certificate Expiration Date 7/6/2027
Facility Type Pharmacy
Lab Director TONY K. FINK

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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