46D2017929 CLIA NUMBER - FRESH MARKET PHARMACY #2307

Laboratory Demographics

  • CLIA Code: 46D2017929
  • Facility Name: FRESH MARKET PHARMACY #2307
  • Facility Address: 3151 W KILBY RD
    PARK CITY, UT
    ZIP 84098
  • Facility Phone: 435 645-7945
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JILL JOHNSON
  • NPI Number: 1417280678
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2017929
LAB Type Pharmacy
Facility Name FRESH MARKET PHARMACY #2307
Street 3151 W KILBY RD
City PARK CITY
State UT
ZIP 84098
Phone 435 645-7945
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Pharmacy
Lab Director JILL JOHNSON

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