49D2131864 CLIA NUMBER - SAM'S EAST, LP D/B/A SAM'S PHARMACY # 10-6458

Laboratory Demographics

  • CLIA Code: 49D2131864
  • Facility Name: SAM'S EAST, LP D/B/A SAM'S PHARMACY # 10-6458
  • Facility Address: 3912 WARDS ROAD
    LYNCHBURG, VA
    ZIP 24502
  • Facility Phone: 434 237-7027
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WENDY WILLIS
  • NPI Number: 1336497395
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2131864
LAB Type Pharmacy
Facility Name SAM'S EAST, LP D/B/A SAM'S PHARMACY # 10-6458
Street 3912 WARDS ROAD
City LYNCHBURG
State VA
ZIP 24502
Phone 434 237-7027
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 WENDY WILLIS

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