46D2110661 CLIA NUMBER - LINS SUPERMARKETS INC #6

Laboratory Demographics

CLIA Number: 46D2110661

Facility Name: LINS SUPERMARKETS INC #6

Facility Address:
2928 E MALL DRIVE
ST GEORGE, UT
ZIP 84790
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Facility Phone Number: 435 773-6801

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1225400708

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	46D2110661
LAB Type	Pharmacy
Facility Name	LINS SUPERMARKETS INC #6
Street	2928 E MALL DRIVE
City	ST GEORGE
State	UT
ZIP	84790
Phone	435 773-6801
CertificateType	4
CertificateEffectiveDate	3/22/2024
CertificateExpirationDate	3/21/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024