46D2060368 CLIA NUMBER - WALGREENS #06669

Laboratory Demographics

  • CLIA Code: 46D2060368
  • Facility Name: WALGREENS #06669
  • Facility Address: 10429 S REDWOOD RD
    SOUTH JORDAN, UT
    ZIP 84095
  • Facility Phone: 801 446-0996
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HEATHER J. HURD
  • NPI Number: 1295740231
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2060368
LAB Type Pharmacy
Facility Name WALGREENS #06669
Street 10429 S REDWOOD RD
City SOUTH JORDAN
State UT
ZIP 84095
Phone 801 446-0996
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Pharmacy
Lab Director HEATHER J. HURD

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