46D2067164 CLIA NUMBER - APOTHECARY SHOPPE

Laboratory Demographics

  • CLIA Code: 46D2067164
  • Facility Name: APOTHECARY SHOPPE
  • Facility Address: 82 S 1100 E #104
    SALT LAKE CITY, UT
    ZIP 84102
  • Facility Phone: (801) 521-6353
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KEVIN DEMASS
  • NPI Number: 1003898545
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2067164
LAB Type Pharmacy
Facility Name APOTHECARY SHOPPE
Street 82 S 1100 E #104
City SALT LAKE CITY
State UT
ZIP 84102
Phone 8015216353
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2024
Certificate Expiration Date 12/4/2026
Facility Type Pharmacy
Lab Director KEVIN DEMASS

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