46D1035971 CLIA NUMBER - MACEYS PHARMACY #5

Laboratory Demographics

  • CLIA Code: 46D1035971
  • Facility Name: MACEYS PHARMACY #5
  • Facility Address: 972 N MAIN STREET
    TOOELE, UT
    ZIP 84074
  • Facility Phone: 435 843-8821
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHELSEA CARTER
  • NPI Number: 1275642415
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D1035971
LAB Type Pharmacy
Facility Name MACEYS PHARMACY #5
Street 972 N MAIN STREET
City TOOELE
State UT
ZIP 84074
Phone 435 843-8821
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 CHELSEA CARTER

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