46D2011009 CLIA NUMBER - WALGREENS #07052

Laboratory Demographics

  • CLIA Code: 46D2011009
  • Facility Name: WALGREENS #07052
  • Facility Address: 391 W ST GEORGE BLVD
    ST GEORGE, UT
    ZIP 84770
  • Facility Phone: 435 652-3868
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MEADOW SHAW
  • NPI Number: 1922013960
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2011009
LAB Type Pharmacy
Facility Name WALGREENS #07052
Street 391 W ST GEORGE BLVD
City ST GEORGE
State UT
ZIP 84770
Phone 435 652-3868
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/27/2025
Certificate Expiration Date 5/26/2027
Facility Type Pharmacy
Lab Director MEADOW SHAW

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