49D2131853 CLIA NUMBER - SAM'S EAST, LP D/B/A SAM'S PHARMACY #10-6368

Laboratory Demographics

  • CLIA Code: 49D2131853
  • Facility Name: SAM'S EAST, LP D/B/A SAM'S PHARMACY #10-6368
  • Facility Address: 1501 SAMS CIRCLE
    CHESAPEAKE, VA
    ZIP 23320
  • Facility Phone: 757 549-6193
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANIEL TEPOVICH
  • NPI Number: 1093732109
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2131853
LAB Type Pharmacy
Facility Name SAM'S EAST, LP D/B/A SAM'S PHARMACY #10-6368
Street 1501 SAMS CIRCLE
City CHESAPEAKE
State VA
ZIP 23320
Phone 757 549-6193
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2025
Certificate Expiration Date 6/6/2027
Facility Type Pharmacy
Lab Director DANIEL TEPOVICH

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