46D2011521 CLIA NUMBER - WALGREENS #06282

Laboratory Demographics

  • CLIA Code: 46D2011521
  • Facility Name: WALGREENS #06282
  • Facility Address: 4040 WEST 5415 SOUTH
    TAYLORSVILLE, UT
    ZIP 84118
  • Facility Phone: 801 982-1912
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRANDON BUI
  • NPI Number: 1194002774
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2011521
LAB Type Pharmacy
Facility Name WALGREENS #06282
Street 4040 WEST 5415 SOUTH
City TAYLORSVILLE
State UT
ZIP 84118
Phone 801 982-1912
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2023
Certificate Expiration Date 7/27/2025
Facility Type Pharmacy
Lab Director BRANDON BUI

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This page was last updated on: 6/4/2025