46D2141733 CLIA NUMBER - FUSION SPECIALTY PHARMACY

Laboratory Demographics

  • CLIA Code: 46D2141733
  • Facility Name: FUSION SPECIALTY PHARMACY
  • Facility Address: 1100 CANYON VIEW DRIVE, STE C
    SANTA CLARA, UT
    ZIP 84765
  • Facility Phone: 435 703-9680
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TRAVIS S. SNOW
  • NPI Number: 1508104712
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2141733
LAB Type Pharmacy
Facility Name FUSION SPECIALTY PHARMACY
Street 1100 CANYON VIEW DRIVE, STE C
City SANTA CLARA
State UT
ZIP 84765
Phone 435 703-9680
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2023
Certificate Expiration Date 12/19/2025
Facility Type Pharmacy
Lab Director TRAVIS S. SNOW

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