46D2161179 CLIA NUMBER - KENT - ROY, LLC

Laboratory Demographics

  • CLIA Code: 46D2161179
  • Facility Name: KENT - ROY, LLC
  • Facility Address: 3535 W 5600 S
    ROY, UT
    ZIP 84067
  • Facility Phone: 801 985-3942
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANDREW R. ALEXANDER
  • NPI Number: 1053491191
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2161179
LAB Type Pharmacy
Facility Name KENT - ROY, LLC
Street 3535 W 5600 S
City ROY
State UT
ZIP 84067
Phone 801 985-3942
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2025
Certificate Expiration Date 1/28/2027
Facility Type Pharmacy
Lab Director ANDREW R. ALEXANDER

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