46D2114546 CLIA NUMBER - SMITH'S PHARMACY #75

Laboratory Demographics

  • CLIA Code: 46D2114546
  • Facility Name: SMITH'S PHARMACY #75
  • Facility Address: 632 SOUTH 100 WEST
    PAYSON, UT
    ZIP 84651
  • Facility Phone: 801 465-2591
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAIME MONTUORO
  • NPI Number: 1053336685
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2114546
LAB Type Pharmacy
Facility Name SMITH'S PHARMACY #75
Street 632 SOUTH 100 WEST
City PAYSON
State UT
ZIP 84651
Phone 801 465-2591
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/31/2024
Certificate Expiration Date 8/30/2026
Facility Type Pharmacy
Lab Director JAIME MONTUORO

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This page was last updated on: 3/20/2025