46D2011522 CLIA NUMBER - WALGREENS #05737

Laboratory Demographics

  • CLIA Code: 46D2011522
  • Facility Name: WALGREENS #05737
  • Facility Address: 909 EAST 2100 SOUTH
    SALT LAKE CITY, UT
    ZIP 84106
  • Facility Phone: 801 463-4870
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GREGORY MYERS
  • NPI Number: 1841205887
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2011522
LAB Type Pharmacy
Facility Name WALGREENS #05737
Street 909 EAST 2100 SOUTH
City SALT LAKE CITY
State UT
ZIP 84106
Phone 801 463-4870
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type Pharmacy
Lab Director GREGORY MYERS

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