46D1031896 CLIA NUMBER - FRESH MARKET PHARMACY #2372

Laboratory Demographics

  • CLIA Code: 46D1031896
  • Facility Name: FRESH MARKET PHARMACY #2372
  • Facility Address: 3865 SOUTH 2300 EAST
    SALT LAKE CITY, UT
    ZIP 84109
  • Facility Phone: 801 272-5298
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HEATHER STILLWELL
  • NPI Number: 1225361934
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D1031896
LAB Type Pharmacy
Facility Name FRESH MARKET PHARMACY #2372
Street 3865 SOUTH 2300 EAST
City SALT LAKE CITY
State UT
ZIP 84109
Phone 801 272-5298
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2024
Certificate Expiration Date 12/21/2026
Facility Type Pharmacy
Lab Director HEATHER STILLWELL

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