46D2159838 CLIA NUMBER - STEWART PHARMACY

Laboratory Demographics

  • CLIA Code: 46D2159838
  • Facility Name: STEWART PHARMACY
  • Facility Address: 245 W HWY 40
    ROOSEVELT, UT
    ZIP 84066
  • Facility Phone: 435 722-2454
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARK STEWART
  • NPI Number: 1124499553
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2159838
LAB Type Pharmacy
Facility Name STEWART PHARMACY
Street 245 W HWY 40
City ROOSEVELT
State UT
ZIP 84066
Phone 435 722-2454
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2024
Certificate Expiration Date 12/26/2026
Facility Type Pharmacy
Lab Director MARK STEWART

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