46D2138976 CLIA NUMBER - WALMART PHARMACY 10-4678

Laboratory Demographics

  • CLIA Code: 46D2138976
  • Facility Name: WALMART PHARMACY 10-4678
  • Facility Address: 180 N 3400 W
    HURRICANE, UT
    ZIP 84737
  • Facility Phone: 435 635-2014
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERIC G. SULLIVAN
  • NPI Number: 1508004888
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 46D2138976
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4678
Street 180 N 3400 W
City HURRICANE
State UT
ZIP 84737
Phone 435 635-2014
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 ERIC G. SULLIVAN

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: 9/29/2025