46D1035986 CLIA NUMBER - LINS SUPERMARKETS INC #2

Laboratory Demographics

  • CLIA Code: 46D1035986
  • Facility Name: LINS SUPERMARKETS INC #2
  • Facility Address: 1120 WEST STATE STREET
    HURRICANE, UT
    ZIP 84737
  • Facility Phone: 435 635-3840
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEDEDIAH FOREST
  • NPI Number: 1598874695
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D1035986
LAB Type Pharmacy
Facility Name LINS SUPERMARKETS INC #2
Street 1120 WEST STATE STREET
City HURRICANE
State UT
ZIP 84737
Phone 435 635-3840
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 JEDEDIAH FOREST

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