46D1032906 CLIA NUMBER - FRESH MARKET PHARMACY #2350 DBA MACEY'S INC #1076

Laboratory Demographics

  • CLIA Code: 46D1032906
  • Facility Name: FRESH MARKET PHARMACY #2350 DBA MACEY'S INC #1076
  • Facility Address: 1638 S 900 E
    SALT LAKE CITY, UT
    ZIP 84105
  • Facility Phone: 801 484-8742
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: COLTON RICE
  • NPI Number: 1043543754
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D1032906
LAB Type Pharmacy
Facility Name FRESH MARKET PHARMACY #2350 DBA MACEY'S INC #1076
Street 1638 S 900 E
City SALT LAKE CITY
State UT
ZIP 84105
Phone 801 484-8742
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 COLTON RICE

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