46D2065181 CLIA NUMBER - WALGREENS #15289

Laboratory Demographics

  • CLIA Code: 46D2065181
  • Facility Name: WALGREENS #15289
  • Facility Address: 4515 S 900 E
    SALT LAKE CITY, UT
    ZIP 84117
  • Facility Phone: (801) 266-1215
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BENJAMIN J. HIGLEY
  • NPI Number: 1326382235
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2065181
LAB Type Pharmacy
Facility Name WALGREENS #15289
Street 4515 S 900 E
City SALT LAKE CITY
State UT
ZIP 84117
Phone 8012661215
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/26/2025
Certificate Expiration Date 9/25/2027
Facility Type Pharmacy
Lab Director BENJAMIN J. HIGLEY

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This page was last updated on: 5/18/2026