46D2146689 CLIA NUMBER - ALBERTSONS PHARMACY #1708

Laboratory Demographics

  • CLIA Code: 46D2146689
  • Facility Name: ALBERTSONS PHARMACY #1708
  • Facility Address: 729 N REDWOOD RD
    SALT LAKE CITY, UT
    ZIP 84116
  • Facility Phone: 801 532-3795
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KELLI THORUP
  • NPI Number: 1235516600
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2146689
LAB Type Pharmacy
Facility Name ALBERTSONS PHARMACY #1708
Street 729 N REDWOOD RD
City SALT LAKE CITY
State UT
ZIP 84116
Phone 801 532-3795
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2024
Certificate Expiration Date 4/3/2026
Facility Type Pharmacy
Lab Director KELLI THORUP

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