46D2135936 CLIA NUMBER - MIDLAND PHARMACY

Laboratory Demographics

  • CLIA Code: 46D2135936
  • Facility Name: MIDLAND PHARMACY
  • Facility Address: 4815 S 3500 W
    ROY, UT
    ZIP 84067
  • Facility Phone: 801 866-3047
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSEPH F. BURUM
  • NPI Number: 1639649916
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2135936
LAB Type Pharmacy
Facility Name MIDLAND PHARMACY
Street 4815 S 3500 W
City ROY
State UT
ZIP 84067
Phone 801 866-3047
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/30/2025
Certificate Expiration Date 8/29/2027
Facility Type Pharmacy
Lab Director JOSEPH F. BURUM

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