46D2018018 CLIA NUMBER - MACEY'S INC #1064

Laboratory Demographics

  • CLIA Code: 46D2018018
  • Facility Name: MACEY'S INC #1064
  • Facility Address: 1212 DRAPER PARKWAY
    DRAPER, UT
    ZIP 84020
  • Facility Phone: 801 571-1406
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINDA ALLAHVERDI
  • NPI Number: 1386963593
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2018018
LAB Type Pharmacy
Facility Name MACEY'S INC #1064
Street 1212 DRAPER PARKWAY
City DRAPER
State UT
ZIP 84020
Phone 801 571-1406
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2024
Certificate Expiration Date 12/21/2026
Facility Type Pharmacy
Lab Director LINDA ALLAHVERDI

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