46D2120655 CLIA NUMBER - WALMART PHARMACY 10-3208

Laboratory Demographics

  • CLIA Code: 46D2120655
  • Facility Name: WALMART PHARMACY 10-3208
  • Facility Address: 660 S 1750 W
    SPRINGVILLE, UT
    ZIP 84663
  • Facility Phone: 801 489-6334
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANIEL CLARK
  • NPI Number: 1912096959
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 46D2120655
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3208
Street 660 S 1750 W
City SPRINGVILLE
State UT
ZIP 84663
Phone 801 489-6334
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2024
Certificate Expiration Date 10/19/2026
Facility Type Pharmacy
Lab Director DANIEL CLARK

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