46D2060373 CLIA NUMBER - WALGREENS #02529

Laboratory Demographics

  • CLIA Code: 46D2060373
  • Facility Name: WALGREENS #02529
  • Facility Address: 1037 W 1700 S
    SYRACUSE, UT
    ZIP 84075
  • Facility Phone: 801 614-1299
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NORLYN RANCHEZ
  • NPI Number: 1205841244
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2060373
LAB Type Pharmacy
Facility Name WALGREENS #02529
Street 1037 W 1700 S
City SYRACUSE
State UT
ZIP 84075
Phone 801 614-1299
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2025
Certificate Expiration Date 4/25/2027
Facility Type Pharmacy
Lab Director NORLYN RANCHEZ

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