46D2060397 CLIA NUMBER - WALGREENS #13011

Laboratory Demographics

  • CLIA Code: 46D2060397
  • Facility Name: WALGREENS #13011
  • Facility Address: 132 N MAIN ST
    PAYSON, UT
    ZIP 84651
  • Facility Phone: 801 465-0125
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GARRETT J. CRANE
  • NPI Number: 1659500056
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2060397
LAB Type Pharmacy
Facility Name WALGREENS #13011
Street 132 N MAIN ST
City PAYSON
State UT
ZIP 84651
Phone 801 465-0125
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2025
Certificate Expiration Date 8/10/2027
Facility Type Pharmacy
Lab Director GARRETT J. CRANE

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