46D2139731 CLIA NUMBER - WALMART PHARMACY 10-2794

Laboratory Demographics

  • CLIA Code: 46D2139731
  • Facility Name: WALMART PHARMACY 10-2794
  • Facility Address: 777 N MAIN ST
    EPHRAIM, UT
    ZIP 84627
  • Facility Phone: (435) 283-8194
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NATHAN G. BRIDGES
  • NPI Number: 1124045315
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2139731
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2794
Street 777 N MAIN ST
City EPHRAIM
State UT
ZIP 84627
Phone 4352838194
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2025
Certificate Expiration Date 11/6/2027
Facility Type Pharmacy
Lab Director NATHAN G. BRIDGES

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This page was last updated on: 5/18/2026