46D2132306 CLIA NUMBER - LEE'S MARKETPLACE SMITHFIELD PHARMACY

Laboratory Demographics

  • CLIA Code: 46D2132306
  • Facility Name: LEE'S MARKETPLACE SMITHFIELD PHARMACY
  • Facility Address: 850 SOUTH MAIN STREET
    SMITHFIELD, UT
    ZIP 84335
  • Facility Phone: 435 563-6201
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WYATT CHRISTENSEN
  • NPI Number: 1578671210
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2132306
LAB Type Pharmacy
Facility Name LEE'S MARKETPLACE SMITHFIELD PHARMACY
Street 850 SOUTH MAIN STREET
City SMITHFIELD
State UT
ZIP 84335
Phone 435 563-6201
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2025
Certificate Expiration Date 6/14/2027
Facility Type Pharmacy
Lab Director WYATT CHRISTENSEN

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