CLIA lab
CLIA 01D2146154: Sam's Club Pharmacy 10-4990
Daphne, AL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 01D2146154 belongs to Sam's Club Pharmacy 10-4990 in Daphne, AL.
Certificate of Waiver, effective March 22, 2026, expires March 21, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- March 22, 2026
- Certificate expiration
- March 21, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 22, 2018
- Facility type
- Pharmacy
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 01D2146154
- Lab name
- Sam's Club Pharmacy 10-4990
- Address
- 29683 Frederick Blvd, Daphne, AL 36526
- Phone
- (251) 626-6670
- Fax
- (251) 626-6612
Annual test volume the lab reported
- Waived tests
- 5,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Sam's Club Pharmacy 10-4990 in Daphne?
01D2146154, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sam's Club Pharmacy 10-4990 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 01D2146154 expire?
The CMS file lists March 21, 2028 as the certificate expiration date; the certificate took effect March 22, 2026.