46D2081678 CLIA NUMBER - ISLAND VIEW PHARMACY

Laboratory Demographics

  • CLIA Code: 46D2081678
  • Facility Name: ISLAND VIEW PHARMACY
  • Facility Address: 2038 WEST 1900 SOUTH
    SYRACUSE, UT
    ZIP 84075
  • Facility Phone: 801 773-7899
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DALLIN RICHARDSON
  • NPI Number: 1750414314
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2081678
LAB Type Pharmacy
Facility Name ISLAND VIEW PHARMACY
Street 2038 WEST 1900 SOUTH
City SYRACUSE
State UT
ZIP 84075
Phone 801 773-7899
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2024
Certificate Expiration Date 7/28/2026
Facility Type Pharmacy
Lab Director DALLIN RICHARDSON

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