CLIA lab

CLIA 26D1090328: Sam's Health Mart Pharmacy # 1

Moberly, MO. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 26D1090328 belongs to Sam's Health Mart Pharmacy # 1 in Moberly, MO.

Certificate of Waiver, effective October 8, 2024, expiration date October 7, 2026.

The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.

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
October 8, 2024
Certificate expiration
October 7, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
October 8, 2008
Facility type
Pharmacy
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
2

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
26D1090328
Lab name
Sam's Health Mart Pharmacy # 1
Address
300 N Morley Street, Moberly, MO 65270
Phone
(660) 263-0909
Fax
(660) 263-2124

Annual test volume the lab reported

Waived tests
100

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Moberly, MO

Related

Questions

What is the CLIA number for Sam's Health Mart Pharmacy # 1 in Moberly?

26D1090328, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Sam's Health Mart Pharmacy # 1 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 26D1090328 expire?

The CMS file lists October 7, 2026 as the certificate expiration date; the certificate took effect October 8, 2024.

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