51D2127080 CLIA NUMBER - SAM'S EAST, INC D/B/A SAM'S PHARMACY #10-6457

Laboratory Demographics

  • CLIA Code: 51D2127080
  • Facility Name: SAM'S EAST, INC D/B/A SAM'S PHARMACY #10-6457
  • Facility Address: 2500 MOUNTAINEER BLVD
    SOUTH CHARLESTON, WV
    ZIP 25309
  • Facility Phone: 479 258-6734
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINDSEY MUSCARI
  • NPI Number: 1902823040
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 51D2127080
LAB Type Pharmacy
Facility Name SAM'S EAST, INC D/B/A SAM'S PHARMACY #10-6457
Street 2500 MOUNTAINEER BLVD
City SOUTH CHARLESTON
State WV
ZIP 25309
Phone 479 258-6734
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/9/2025
Certificate Expiration Date 3/8/2027
Facility Type Pharmacy
Lab Director LINDSEY MUSCARI

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