52D2261833 CLIA NUMBER - SAM'S CLUB PHARMACY 10-8185

Laboratory Demographics

  • CLIA Code: 52D2261833
  • Facility Name: SAM'S CLUB PHARMACY 10-8185
  • Facility Address: 4001 GATEWAY DR
    EAU CLAIRE, WI
    ZIP 54701
  • Facility Phone: 706 335-7818
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. CRAIG A. WESOLOWSKI
  • NPI Number: 1225186471
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 52D2261833
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-8185
Street 4001 GATEWAY DR
City EAU CLAIRE
State WI
ZIP 54701
Phone 706 335-7818
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2024
Certificate Expiration Date 6/5/2026
Facility Type Pharmacy
Lab Director DR. CRAIG A. WESOLOWSKI

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