46D1035967 CLIA NUMBER - MACEYS PHARMACY #2

Laboratory Demographics

  • CLIA Code: 46D1035967
  • Facility Name: MACEYS PHARMACY #2
  • Facility Address: 7859 S 3200 W
    WEST JORDAN, UT
    ZIP 84088
  • Facility Phone: 801 255-7557
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PETER WILLEITNER
  • NPI Number: 1043329261
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D1035967
LAB Type Pharmacy
Facility Name MACEYS PHARMACY #2
Street 7859 S 3200 W
City WEST JORDAN
State UT
ZIP 84088
Phone 801 255-7557
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 PETER WILLEITNER

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