46D2140928 CLIA NUMBER - WALMART PHARMACY 10-2511

Laboratory Demographics

  • CLIA Code: 46D2140928
  • Facility Name: WALMART PHARMACY 10-2511
  • Facility Address: 949 W GRASSLAND DR
    AMERICAN FORK, UT
    ZIP 84003
  • Facility Phone: 801 492-1106
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CLAUDIA S. NIELSEN
  • NPI Number: 1528158524
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 46D2140928
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2511
Street 949 W GRASSLAND DR
City AMERICAN FORK
State UT
ZIP 84003
Phone 801 492-1106
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 CLAUDIA S. NIELSEN

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