49D2131858 CLIA NUMBER - SAM'S EAST LP D/B/A SAM'S PHARMACY # 10-8220

Laboratory Demographics

CLIA Number: 49D2131858

Facility Name: SAM'S EAST LP D/B/A SAM'S PHARMACY # 10-8220

Facility Address:
1455 TOWN SQUARE BOULEVARD
ROANOKE, VA
ZIP 24012
Get Directions

Facility Phone Number: 540 527-2362

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1265459374

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	49D2131858
LAB Type	Pharmacy
Facility Name	SAM'S EAST LP D/B/A SAM'S PHARMACY # 10-8220
Street	1455 TOWN SQUARE BOULEVARD
City	ROANOKE
State	VA
ZIP	24012
Phone	540 527-2362
CertificateType	4
CertificateEffectiveDate	6/7/2023
CertificateExpirationDate	6/6/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024