46D2121928 CLIA NUMBER - WALMART PHARMACY 10-3620

Laboratory Demographics

  • CLIA Code: 46D2121928
  • Facility Name: WALMART PHARMACY 10-3620
  • Facility Address: 13502 HAMILTON VIEW RD
    RIVERTON, UT
    ZIP 84065
  • Facility Phone: 801 446-2991
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ARIC M. CRAMER
  • NPI Number: 1700062148
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2121928
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3620
Street 13502 HAMILTON VIEW RD
City RIVERTON
State UT
ZIP 84065
Phone 801 446-2991
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2024
Certificate Expiration Date 11/15/2026
Facility Type Pharmacy
Lab Director ARIC M. CRAMER

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