46D2060386 CLIA NUMBER - WALGREENS #10104

Laboratory Demographics

  • CLIA Code: 46D2060386
  • Facility Name: WALGREENS #10104
  • Facility Address: 1410 N REDWOOD RD
    SARATOGA SPRINGS, UT
    ZIP 84045
  • Facility Phone: 801 766-1426
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PHILIP E. HATTON
  • NPI Number: 1730356791
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2060386
LAB Type Pharmacy
Facility Name WALGREENS #10104
Street 1410 N REDWOOD RD
City SARATOGA SPRINGS
State UT
ZIP 84045
Phone 801 766-1426
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2025
Certificate Expiration Date 4/15/2027
Facility Type Pharmacy
Lab Director PHILIP E. HATTON

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