46D1031841 CLIA NUMBER - MACEY'S PHARMACY #12

Laboratory Demographics

  • CLIA Code: 46D1031841
  • Facility Name: MACEY'S PHARMACY #12
  • Facility Address: 760 E MAIN ST ATTN PHARMACY MANAGER
    LEHI, UT
    ZIP 84043
  • Facility Phone: 801 766-0355
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAUANA GILLMAN
  • NPI Number: 1386753549
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D1031841
LAB Type Pharmacy
Facility Name MACEY'S PHARMACY #12
Street 760 E MAIN ST ATTN PHARMACY MANAGER
City LEHI
State UT
ZIP 84043
Phone 801 766-0355
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Pharmacy
Lab Director LAUANA GILLMAN

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This page was last updated on: 9/29/2025