46D2067457 CLIA NUMBER - WALGREENS #10731

Laboratory Demographics

  • CLIA Code: 46D2067457
  • Facility Name: WALGREENS #10731
  • Facility Address: 2330 E FORT UNION BLVD
    COTTONWOOD, UT
    ZIP 84121
  • Facility Phone: (801) 308-1013
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RICHARD A. LOWE
  • NPI Number: 1578726832
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2067457
LAB Type Pharmacy
Facility Name WALGREENS #10731
Street 2330 E FORT UNION BLVD
City COTTONWOOD
State UT
ZIP 84121
Phone 8013081013
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2025
Certificate Expiration Date 9/17/2027
Facility Type Pharmacy
Lab Director RICHARD A. LOWE

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