46D2161887 CLIA NUMBER - ROY PHARMACY

Laboratory Demographics

  • CLIA Code: 46D2161887
  • Facility Name: ROY PHARMACY
  • Facility Address: 3460 W 4800 S
    ROY, UT
    ZIP 84067
  • Facility Phone: 801 732-0202
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ASHLEY M. SEPULVEDA
  • NPI Number: 1891188207
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2161887
LAB Type Pharmacy
Facility Name ROY PHARMACY
Street 3460 W 4800 S
City ROY
State UT
ZIP 84067
Phone 801 732-0202
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2025
Certificate Expiration Date 2/11/2027
Facility Type Pharmacy
Lab Director ASHLEY M. SEPULVEDA

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