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

Laboratory Demographics

CLIA Number: 52D2261835

Facility Name: SAM'S CLUB PHARMACY 10-8167

Facility Address:
6705 S 27TH ST
FRANKLIN, WI
ZIP 53132
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Facility Phone Number: 407 859-3920

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1083711485

Taxonomy: 156FX1800X - Technician/Technologist
Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

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
CertificateType	4
CertificateEffectiveDate	6/6/2022
CertificateExpirationDate	6/5/2024
FacilityType	Waiver

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