46D2011527 CLIA NUMBER - WALGREENS #06183

Laboratory Demographics

  • CLIA Code: 46D2011527
  • Facility Name: WALGREENS #06183
  • Facility Address: 515 SOUTH 500 WEST
    BOUNTIFUL, UT
    ZIP 84010
  • Facility Phone: 801 294-9107
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MASON T. COOK
  • NPI Number: 1851605760
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2011527
LAB Type Pharmacy
Facility Name WALGREENS #06183
Street 515 SOUTH 500 WEST
City BOUNTIFUL
State UT
ZIP 84010
Phone 801 294-9107
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Pharmacy
Lab Director MASON T. COOK

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