46D2025292 CLIA NUMBER - SMITH'S PHARMACY #83

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Laboratory Demographics

CLIA Number: 46D2025292

Facility Name: SMITH'S PHARMACY #83

Facility Address:
665 W 5300 S
MURRAY, UT
ZIP 84107
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Facility Phone Number: 801 269-0066

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1871510495

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	46D2025292
LAB Type	Pharmacy
Facility Name	SMITH'S PHARMACY #83
Street	665 W 5300 S
City	MURRAY
State	UT
ZIP	84107
Phone	801 269-0066
CertificateType	4
CertificateEffectiveDate	6/6/2023
CertificateExpirationDate	6/5/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024