46D2139994 CLIA NUMBER - WALMART PHARMACY 10-4706

Laboratory Demographics

  • CLIA Code: 46D2139994
  • Facility Name: WALMART PHARMACY 10-4706
  • Facility Address: 3555 S 8400 W
    MAGNA, UT
    ZIP 84044
  • Facility Phone: 801 601-2838
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NICHOLAS R. TAYLOR
  • NPI Number: 1396162319
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2139994
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-4706
Street 3555 S 8400 W
City MAGNA
State UT
ZIP 84044
Phone 801 601-2838
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2023
Certificate Expiration Date 11/12/2025
Facility Type Pharmacy
Lab Director NICHOLAS R. TAYLOR

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