49D2131651 CLIA NUMBER - SAM'S EAST, LP D/B/A SAM'S PHARMACY #10-6518

Laboratory Demographics

  • CLIA Code: 49D2131651
  • Facility Name: SAM'S EAST, LP D/B/A SAM'S PHARMACY #10-6518
  • Facility Address: 21483 MARKET CENTER
    BRISTOL, VA
    ZIP 24202
  • Facility Phone: 276 466-4727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NICHOLE MULLINS
  • NPI Number: 1063612620
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D2131651
LAB Type Pharmacy
Facility Name SAM'S EAST, LP D/B/A SAM'S PHARMACY #10-6518
Street 21483 MARKET CENTER
City BRISTOL
State VA
ZIP 24202
Phone 276 466-4727
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 NICHOLE MULLINS

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: 6/4/2025