46D2060363 CLIA NUMBER - WALGREENS #02519

Laboratory Demographics

  • CLIA Code: 46D2060363
  • Facility Name: WALGREENS #02519
  • Facility Address: 1962 W 1800 N
    CLINTON, UT
    ZIP 84015
  • Facility Phone: 801 614-1347
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DUY VO
  • NPI Number: 1639184666
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2060363
LAB Type Pharmacy
Facility Name WALGREENS #02519
Street 1962 W 1800 N
City CLINTON
State UT
ZIP 84015
Phone 801 614-1347
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2025
Certificate Expiration Date 5/10/2027
Facility Type Pharmacy
Lab Director DUY VO

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