46D2155024 CLIA NUMBER - GIBSON'S PHARMACY & COMPOUNDING

Laboratory Demographics

CLIA Number: 46D2155024

Facility Name: GIBSON'S PHARMACY & COMPOUNDING

Facility Address:
240 E WINCHESTER
MURRAY, UT
ZIP 84107
Get Directions

Facility Phone Number: 801 262-5526

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1821442856

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	46D2155024
LAB Type	Pharmacy
Facility Name	GIBSON'S PHARMACY & COMPOUNDING
Street	240 E WINCHESTER
City	MURRAY
State	UT
ZIP	84107
Phone	801 262-5526
CertificateType	4
CertificateEffectiveDate	9/21/2022
CertificateExpirationDate	9/20/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024