52D2261835 CLIA NUMBER - SAM'S CLUB PHARMACY 10-8167

Laboratory Demographics

  • CLIA Code: 52D2261835
  • Facility Name: SAM'S CLUB PHARMACY 10-8167
  • Facility Address: 6705 S 27TH ST
    FRANKLIN, WI
    ZIP 53132
  • Facility Phone: 407 859-3920
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAURA HOLCOMB
  • NPI Number: 1083711485
  • Taxonomy: 332H00000X - Eyewear Supplier

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 52D2261835
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-8167
Street 6705 S 27TH ST
City FRANKLIN
State WI
ZIP 53132
Phone 407 859-3920
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 LAURA HOLCOMB

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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