46D2060375 CLIA NUMBER - WALGREENS #06988

Laboratory Demographics

  • CLIA Code: 46D2060375
  • Facility Name: WALGREENS #06988
  • Facility Address: 3863 W 9000 S
    WEST JORDAN, UT
    ZIP 84088
  • Facility Phone: 801 280-3235
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIMOTHY TERRY
  • NPI Number: 1679588610
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2060375
LAB Type Pharmacy
Facility Name WALGREENS #06988
Street 3863 W 9000 S
City WEST JORDAN
State UT
ZIP 84088
Phone 801 280-3235
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2025
Certificate Expiration Date 6/16/2027
Facility Type Pharmacy
Lab Director TIMOTHY TERRY

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