49D2131669 CLIA NUMBER - SAM'S EAST, LP D/B/A SAM'S PHARMACY #10-4710

Laboratory Demographics

  • CLIA Code: 49D2131669
  • Facility Name: SAM'S EAST, LP D/B/A SAM'S PHARMACY #10-4710
  • Facility Address: 2444 CHESAPEAEKE SQUARE RING ROAD
    CHESAPEAKE, VA
    ZIP 23321
  • Facility Phone: 434 797-3439
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER LAM
  • NPI Number: 1710904826
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D2131669
LAB Type Pharmacy
Facility Name SAM'S EAST, LP D/B/A SAM'S PHARMACY #10-4710
Street 2444 CHESAPEAEKE SQUARE RING ROAD
City CHESAPEAKE
State VA
ZIP 23321
Phone 434 797-3439
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 LAM

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