CLIA lab
CLIA 24D2099827: Sam's Pharmacy 10-4787
Bloomington, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2099827 belongs to Sam's Pharmacy 10-4787 in Bloomington, MN.
Certificate of Waiver, effective August 3, 2025, expires August 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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- August 3, 2025
- Certificate expiration
- August 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 3, 2015
- 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
- 24D2099827
- Lab name
- Sam's Pharmacy 10-4787
- Address
- 200 American Blvd West, Bloomington, MN 55420
- Phone
- (952) 888-6079
- Fax
- (952) 888-6095
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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- Albert PlaceCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities24D0945656
- Alliance Wellness Clinic, IncCertificate of Waiver, Other24D2216296
- Allina Health Bloomington ClinicCertificate of Waiver, Community clinic24D0402517
Related
Questions
What is the CLIA number for Sam's Pharmacy 10-4787 in Bloomington?
24D2099827, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sam's Pharmacy 10-4787 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2099827 expire?
The CMS file lists August 2, 2027 as the certificate expiration date; the certificate took effect August 3, 2025.