46D1035966 CLIA NUMBER - MACEYS PHARMACY #1

Laboratory Demographics

  • CLIA Code: 46D1035966
  • Facility Name: MACEYS PHARMACY #1
  • Facility Address: 880 N STATE STREET
    OREM, UT
    ZIP 84057
  • Facility Phone: 801 225-4621
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SCOT L. ALLEN
  • NPI Number: 1548379753
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D1035966
LAB Type Pharmacy
Facility Name MACEYS PHARMACY #1
Street 880 N STATE STREET
City OREM
State UT
ZIP 84057
Phone 801 225-4621
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2025
Certificate Expiration Date 1/17/2027
Facility Type Pharmacy
Lab Director SCOT L. ALLEN

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