46D2139368 CLIA NUMBER - WALMART PHARMACY 10-3589

Laboratory Demographics

  • CLIA Code: 46D2139368
  • Facility Name: WALMART PHARMACY 10-3589
  • Facility Address: 350 HOPE AVE
    SALT LAKE CITY, UT
    ZIP 84115
  • Facility Phone: 801 484-7362
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ADAM C. RYAN
  • NPI Number: 1740361781
  • Taxonomy: 332H00000X - Eyewear Supplier

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 46D2139368
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3589
Street 350 HOPE AVE
City SALT LAKE CITY
State UT
ZIP 84115
Phone 801 484-7362
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2023
Certificate Expiration Date 11/1/2025
Facility Type Pharmacy
Lab Director ADAM C. RYAN

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