46D2138510 CLIA NUMBER - SAM'S CLUB PHARMACY 10-6682

Laboratory Demographics

  • CLIA Code: 46D2138510
  • Facility Name: SAM'S CLUB PHARMACY 10-6682
  • Facility Address: 1055 W HILL FIELD RD
    LAYTON, UT
    ZIP 84041
  • Facility Phone: 801 444-6657
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERIC D. SWENSEN
  • NPI Number: 1154419398
  • Taxonomy: 156FX1800X - Technician/Technologist

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CLIA Record

Field Name Field Value
CLIA Number 46D2138510
LAB Type Pharmacy
Facility Name SAM'S CLUB PHARMACY 10-6682
Street 1055 W HILL FIELD RD
City LAYTON
State UT
ZIP 84041
Phone 801 444-6657
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2023
Certificate Expiration Date 10/18/2025
Facility Type Pharmacy
Lab Director ERIC D. SWENSEN

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This page was last updated on: 6/4/2025