46D2060394 CLIA NUMBER - WALGREENS #11523

Laboratory Demographics

  • CLIA Code: 46D2060394
  • Facility Name: WALGREENS #11523
  • Facility Address: 560 S MAIN ST
    HEBER CITY, UT
    ZIP 84032
  • Facility Phone: 435 654-3863
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMBER OVERTON
  • NPI Number: 1942483078
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2060394
LAB Type Pharmacy
Facility Name WALGREENS #11523
Street 560 S MAIN ST
City HEBER CITY
State UT
ZIP 84032
Phone 435 654-3863
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Pharmacy
Lab Director AMBER OVERTON

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