49D2131645 CLIA NUMBER - SAM'S EAST, LP D/B/A SAM'S PHARMACY # 10-6365

Laboratory Demographics

  • CLIA Code: 49D2131645
  • Facility Name: SAM'S EAST, LP D/B/A SAM'S PHARMACY # 10-6365
  • Facility Address: 970 HILTON HEIGHTS ROAD
    CHARLOTTESVILLE, VA
    ZIP 22901
  • Facility Phone: 434 978-4533
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER LAMB
  • NPI Number: 1184641292
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2131645
LAB Type Pharmacy
Facility Name SAM'S EAST, LP D/B/A SAM'S PHARMACY # 10-6365
Street 970 HILTON HEIGHTS ROAD
City CHARLOTTESVILLE
State VA
ZIP 22901
Phone 434 978-4533
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/5/2025
Certificate Expiration Date 6/4/2027
Facility Type Pharmacy
Lab Director JENNIFER LAMB

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