46D2121854 CLIA NUMBER - WALMART PHARMACY 10-5270

Laboratory Demographics

  • CLIA Code: 46D2121854
  • Facility Name: WALMART PHARMACY 10-5270
  • Facility Address: 585 N STATE ST
    LINDON, UT
    ZIP 84042
  • Facility Phone: (801) 785-8344
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRENDON J. PARKER
  • NPI Number: 1760409957
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2121854
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5270
Street 585 N STATE ST
City LINDON
State UT
ZIP 84042
Phone 8017858344
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2024
Certificate Expiration Date 11/14/2026
Facility Type Pharmacy
Lab Director BRENDON J. PARKER

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