46D1031894 CLIA NUMBER - MACEY'S #1061

Laboratory Demographics

  • CLIA Code: 46D1031894
  • Facility Name: MACEY'S #1061
  • Facility Address: 1825 W 4700 S
    TAYLORSVILLE, UT
    ZIP 84118
  • Facility Phone: 801 964-2626
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JONATHAN GURNEY
  • NPI Number: 1073847323
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D1031894
LAB Type Pharmacy
Facility Name MACEY'S #1061
Street 1825 W 4700 S
City TAYLORSVILLE
State UT
ZIP 84118
Phone 801 964-2626
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 JONATHAN GURNEY

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