46D2138968 CLIA NUMBER - WALMART PHARMACY 10-4208

Laboratory Demographics

  • CLIA Code: 46D2138968
  • Facility Name: WALMART PHARMACY 10-4208
  • Facility Address: 2705 E PARLEYS WAY
    SALT LAKE CITY, UT
    ZIP 84109
  • Facility Phone: 385 313-3949
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: YASHOMATI DUA
  • NPI Number: 1326396300
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2138968
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4208
Street 2705 E PARLEYS WAY
City SALT LAKE CITY
State UT
ZIP 84109
Phone 385 313-3949
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 YASHOMATI DUA

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