46D2060380 CLIA NUMBER - WALGREENS #09192

Laboratory Demographics

  • CLIA Code: 46D2060380
  • Facility Name: WALGREENS #09192
  • Facility Address: 763 N STATE ST
    OREM, UT
    ZIP 84057
  • Facility Phone: 801 734-1624
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AARON C. SMITH
  • NPI Number: 1659386696
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2060380
LAB Type Pharmacy
Facility Name WALGREENS #09192
Street 763 N STATE ST
City OREM
State UT
ZIP 84057
Phone 801 734-1624
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/9/2025
Certificate Expiration Date 4/8/2027
Facility Type Pharmacy
Lab Director AARON C. SMITH

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