CLIA lab
CLIA 18D2126790: Sam's Club Pharmacy 10-8111
Jeffersontown, KY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 18D2126790 belongs to Sam's Club Pharmacy 10-8111 in Jeffersontown, KY.
Certificate of Waiver, effective March 6, 2025, expires March 5, 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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- March 6, 2025
- Certificate expiration
- March 5, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 6, 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
- 18D2126790
- Lab name
- Sam's Club Pharmacy 10-8111
- Address
- 1401 Alliant Ave, Jeffersontown, KY 40299
- Phone
- (502) 267-4367
- Fax
- (502) 267-8550
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 Jeffersontown, KY
- Crossroads Treatment Center of Louisville, PSCCertificate of Waiver, Other18D2130877
- Jeffersontown Fire Protection DistrictCertificate of Waiver, Ambulance18D2173111
- Kentucky CVS Pharmacy, LLC DBACertificate of Waiver, Pharmacy18D2224519
- Specialists Mat PSCCertificate of Accreditation, Physician office18D2198020
- Walmart Pharmacy 10-5183Certificate of Waiver, Pharmacy18D2138745
Related
Questions
What is the CLIA number for Sam's Club Pharmacy 10-8111 in Jeffersontown?
18D2126790, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sam's Club Pharmacy 10-8111 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 18D2126790 expire?
The CMS file lists March 5, 2027 as the certificate expiration date; the certificate took effect March 6, 2025.