46D0985158 CLIA NUMBER - SMITH'S PHARMACY #475

Laboratory Demographics

CLIA Number: 46D0985158

Facility Name: SMITH'S PHARMACY #475

Facility Address:
3215 S VALLEY ST
SALT LAKE CITY, UT
ZIP 84109
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Facility Phone Number: 801 486-8477

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1518982149

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	46D0985158
LAB Type	Pharmacy
Facility Name	SMITH'S PHARMACY #475
Street	3215 S VALLEY ST
City	SALT LAKE CITY
State	UT
ZIP	84109
Phone	801 486-8477
CertificateType	4
CertificateEffectiveDate	4/9/2023
CertificateExpirationDate	4/8/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024