46D2134855 CLIA NUMBER - WALMART PHARMACY 10-3988

Laboratory Demographics

  • CLIA Code: 46D2134855
  • Facility Name: WALMART PHARMACY 10-3988
  • Facility Address: 898 S 2550 E
    SPANISH FORK, UT
    ZIP 84660
  • Facility Phone: 479 258-7034
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JARED OLSEN
  • NPI Number: 1528594983
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2134855
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3988
Street 898 S 2550 E
City SPANISH FORK
State UT
ZIP 84660
Phone 479 258-7034
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Pharmacy
Lab Director JARED OLSEN

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