46D1032908 CLIA NUMBER - FRESH MARKET PHARMACY #2377

Laboratory Demographics

  • CLIA Code: 46D1032908
  • Facility Name: FRESH MARKET PHARMACY #2377
  • Facility Address: 910 N FAIRFIELD RD
    LAYTON, UT
    ZIP 84041
  • Facility Phone: 801 544-8512
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHARLOTTE E. WAGNER
  • NPI Number: 1255664561
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D1032908
LAB Type Pharmacy
Facility Name FRESH MARKET PHARMACY #2377
Street 910 N FAIRFIELD RD
City LAYTON
State UT
ZIP 84041
Phone 801 544-8512
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 CHARLOTTE E. WAGNER

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