CLIA lab

CLIA 52D2261832: Sam's Club Pharmacy 10-6321

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

CLIA number 52D2261832 belongs to Sam's Club Pharmacy 10-6321 in Appleton, WI.

Certificate of Waiver, effective June 6, 2026, expires June 5, 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
June 6, 2026
Certificate expiration
June 5, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
June 6, 2022
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
52D2261832
Lab name
Sam's Club Pharmacy 10-6321
Address
1000 N Westhill Blvd, Appleton, WI 54914
Phone
(903) 597-1863
Fax
(903) 597-4838

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 Appleton, WI

Related

Questions

What is the CLIA number for Sam's Club Pharmacy 10-6321 in Appleton?

52D2261832, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Sam's Club Pharmacy 10-6321 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D2261832 expire?

The CMS file lists June 5, 2028 as the certificate expiration date; the certificate took effect June 6, 2026.

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