46D2140927 CLIA NUMBER - WALMART PHARMACY 10-5350

Laboratory Demographics

  • CLIA Code: 46D2140927
  • Facility Name: WALMART PHARMACY 10-5350
  • Facility Address: 4627 S 900 E
    SALT LAKE CITY, UT
    ZIP 84117
  • Facility Phone: 801 261-3818
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NINA BARSEGIAN
  • NPI Number: 1326129180
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 46D2140927
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-5350
Street 4627 S 900 E
City SALT LAKE CITY
State UT
ZIP 84117
Phone 801 261-3818
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2023
Certificate Expiration Date 12/3/2025
Facility Type Pharmacy
Lab Director NINA BARSEGIAN

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