46D1035967 CLIA NUMBER - MACEYS PHARMACY #2

Laboratory Demographics

CLIA Number: 46D1035967

Facility Name: MACEYS PHARMACY #2

Facility Address:
7859 S 3200 W
WEST JORDAN, UT
ZIP 84088
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Facility Phone Number: 801 255-7557

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1043329261

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	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
CertificateType	4
CertificateEffectiveDate	1/18/2023
CertificateExpirationDate	1/17/2025
FacilityType	Waiver

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