46D1031994 CLIA NUMBER - FRESH MARKET PHARMACY #2388

Laboratory Demographics

  • CLIA Code: 46D1031994
  • Facility Name: FRESH MARKET PHARMACY #2388
  • Facility Address: 5691 S HARRISON BLVD
    SOUTH OGDEN, UT
    ZIP 84403
  • Facility Phone: 801 479-0827
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TYSON BARNES
  • NPI Number: 1982938239
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D1031994
LAB Type Pharmacy
Facility Name FRESH MARKET PHARMACY #2388
Street 5691 S HARRISON BLVD
City SOUTH OGDEN
State UT
ZIP 84403
Phone 801 479-0827
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 TYSON BARNES

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