46D2138755 CLIA NUMBER - WALMART PHARMACY 10-4696

Laboratory Demographics

  • CLIA Code: 46D2138755
  • Facility Name: WALMART PHARMACY 10-4696
  • Facility Address: 1274 S US 189
    HEBER CITY, UT
    ZIP 84032
  • Facility Phone: 435 709-3097
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PRATIK S. PATEL
  • NPI Number: 1457646515
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2138755
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4696
Street 1274 S US 189
City HEBER CITY
State UT
ZIP 84032
Phone 435 709-3097
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/24/2023
Certificate Expiration Date 10/23/2025
Facility Type Pharmacy
Lab Director PRATIK S. PATEL

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