46D2060377 CLIA NUMBER - WALGREENS #07982

Laboratory Demographics

  • CLIA Code: 46D2060377
  • Facility Name: WALGREENS #07982
  • Facility Address: 210 N MAIN ST
    KAYSVILLE, UT
    ZIP 84037
  • Facility Phone: 801 529-1434
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSEPH W. JENSON
  • NPI Number: 1477568418
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2060377
LAB Type Pharmacy
Facility Name WALGREENS #07982
Street 210 N MAIN ST
City KAYSVILLE
State UT
ZIP 84037
Phone 801 529-1434
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2025
Certificate Expiration Date 9/19/2027
Facility Type Pharmacy
Lab Director JOSEPH W. JENSON

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