46D1031999 CLIA NUMBER - MACEY'S, INC #1062

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Laboratory Demographics

CLIA Number: 46D1031999

Facility Name: MACEY'S, INC #1062

Facility Address:
5632 S 900 E
SALT LAKE CITY, UT
ZIP 84121
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Facility Phone Number: 801 262-1025

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1356674667

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	46D1031999
LAB Type	Pharmacy
Facility Name	MACEY'S, INC #1062
Street	5632 S 900 E
City	SALT LAKE CITY
State	UT
ZIP	84121
Phone	801 262-1025
CertificateType	4
CertificateEffectiveDate	12/22/2022
CertificateExpirationDate	12/21/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024