CLIA lab
CLIA 14D2133008: Sam's Club Pharmacy 06388
Montgomery, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2133008 belongs to Sam's Club Pharmacy 06388 in Montgomery, IL.
Certificate of Waiver, effective July 3, 2025, expires July 2, 2027.
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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- July 3, 2025
- Certificate expiration
- July 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 3, 2017
- 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
- 14D2133008
- Lab name
- Sam's Club Pharmacy 06388
- Address
- 1050 Ogden Ave, Montgomery, IL 60538
- Phone
- (630) 449-1953
- Fax
- (630) 449-1954
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.
Other labs in Montgomery, IL
- CSL Plasma, IncCertificate of Compliance, Other14D2131551
- Walgreens # 04779Certificate of Waiver, Pharmacy14D2015177
- Walgreens #10885Certificate of Waiver, Other14D2207136
- Walgreens #11740Certificate of Waiver, Pharmacy14D2222958
- Walmart Pharmacy 10-4286Certificate of Waiver, Pharmacy14D2140368
- Workcare at TimkenCertificate of Waiver, Other14D2279280
Related
Questions
What is the CLIA number for Sam's Club Pharmacy 06388 in Montgomery?
14D2133008, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sam's Club Pharmacy 06388 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2133008 expire?
The CMS file lists July 2, 2027 as the certificate expiration date; the certificate took effect July 3, 2025.