46D2138963 CLIA NUMBER - WALMART PHARMACY 10-2921

Laboratory Demographics

  • CLIA Code: 46D2138963
  • Facility Name: WALMART PHARMACY 10-2921
  • Facility Address: 534 N HARRISVILLE RD
    HARRISVILLE, UT
    ZIP 84404
  • Facility Phone: 801 737-0544
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID M. KAPLAN
  • NPI Number: 1407937006
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 46D2138963
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2921
Street 534 N HARRISVILLE RD
City HARRISVILLE
State UT
ZIP 84404
Phone 801 737-0544
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2023
Certificate Expiration Date 10/26/2025
Facility Type Pharmacy
Lab Director DAVID M. KAPLAN

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