46D1038803 CLIA NUMBER - DICK'S PHARMACY

Laboratory Demographics

  • CLIA Code: 46D1038803
  • Facility Name: DICK'S PHARMACY
  • Facility Address: 84 W PARRISH LANE
    CENTERVILLE, UT
    ZIP 84014
  • Facility Phone: 801 677-0171
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANIEL S. MARSHALL
  • NPI Number: 1033228150
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D1038803
LAB Type Pharmacy
Facility Name DICK'S PHARMACY
Street 84 W PARRISH LANE
City CENTERVILLE
State UT
ZIP 84014
Phone 801 677-0171
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Pharmacy
Lab Director DANIEL S. MARSHALL

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