46D2060376 CLIA NUMBER - WALGREENS #07495

Laboratory Demographics

  • CLIA Code: 46D2060376
  • Facility Name: WALGREENS #07495
  • Facility Address: 5554 S 1900 W
    ROY, UT
    ZIP 84067
  • Facility Phone: (801) 614-1263
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIM A. MANUBAY
  • NPI Number: 1558884676
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 46D2060376
LAB Type Pharmacy
Facility Name WALGREENS #07495
Street 5554 S 1900 W
City ROY
State UT
ZIP 84067
Phone 8016141263
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2025
Certificate Expiration Date 5/12/2027
Facility Type Pharmacy
Lab Director KIM A. MANUBAY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026