46D2063256 CLIA NUMBER - WALGREEN'S #12452

Laboratory Demographics

  • CLIA Code: 46D2063256
  • Facility Name: WALGREEN'S #12452
  • Facility Address: 2576 S MAIN ST
    WOODS CROSS, UT
    ZIP 84010
  • Facility Phone: 901 335-3610
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SABRINA ATKINSON
  • NPI Number: 1215450242
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2063256
LAB Type Pharmacy
Facility Name WALGREEN'S #12452
Street 2576 S MAIN ST
City WOODS CROSS
State UT
ZIP 84010
Phone 901 335-3610
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Pharmacy
Lab Director SABRINA ATKINSON

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