46D1031915 CLIA NUMBER - MACEY'S #1068

Laboratory Demographics

  • CLIA Code: 46D1031915
  • Facility Name: MACEY'S #1068
  • Facility Address: 3555 W 3500 S
    WEST VALLEY CITY, UT
    ZIP 84119
  • Facility Phone: 801 963-6874
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALANDRIA M. SMITCH
  • NPI Number: 1700119013
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D1031915
LAB Type Pharmacy
Facility Name MACEY'S #1068
Street 3555 W 3500 S
City WEST VALLEY CITY
State UT
ZIP 84119
Phone 801 963-6874
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 ALANDRIA M. SMITCH

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