46D2138513 CLIA NUMBER - WALMART PHARMACY 10-3848

Laboratory Demographics

  • CLIA Code: 46D2138513
  • Facility Name: WALMART PHARMACY 10-3848
  • Facility Address: 2228 W 1700 S
    SYRACUSE, UT
    ZIP 84075
  • Facility Phone: (801) 775-9880
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JONATHAN HUNTER
  • NPI Number: 1013072123
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 46D2138513
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3848
Street 2228 W 1700 S
City SYRACUSE
State UT
ZIP 84075
Phone 8017759880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2025
Certificate Expiration Date 10/18/2027
Facility Type Pharmacy
Lab Director JONATHAN HUNTER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026