46D2063247 CLIA NUMBER - WALGREENS #07007

Laboratory Demographics

  • CLIA Code: 46D2063247
  • Facility Name: WALGREENS #07007
  • Facility Address: 12623 S REDWOOD RD
    RIVERTON, UT
    ZIP 84065
  • Facility Phone: 801 254-4916
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NICHOLAS WARLIN
  • NPI Number: 1831104876
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2063247
LAB Type Pharmacy
Facility Name WALGREENS #07007
Street 12623 S REDWOOD RD
City RIVERTON
State UT
ZIP 84065
Phone 801 254-4916
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2025
Certificate Expiration Date 9/19/2027
Facility Type Pharmacy
Lab Director NICHOLAS WARLIN

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