46D2060388 CLIA NUMBER - WALGREENS #10415

Laboratory Demographics

  • CLIA Code: 46D2060388
  • Facility Name: WALGREENS #10415
  • Facility Address: 188 N MAIN ST
    TOOELE, UT
    ZIP 84074
  • Facility Phone: 435 228-1003
  • Facility Type: Other - COVID-19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: STEVEN LY
  • NPI Number: 1851400576
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2060388
LAB Type Other - COVID-19 TEST SITE
Facility Name WALGREENS #10415
Street 188 N MAIN ST
City TOOELE
State UT
ZIP 84074
Phone 435 228-1003
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2024
Certificate Expiration Date 12/16/2026
Facility Type Other - COVID-19 TEST SITE
Lab Director STEVEN LY

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