46D2171733 CLIA NUMBER - EPHRAIM MARKET FRESH PHARMACY

Laboratory Demographics

  • CLIA Code: 46D2171733
  • Facility Name: EPHRAIM MARKET FRESH PHARMACY
  • Facility Address: 475 S MAIN STREET
    EPHRAIM, UT
    ZIP 84627
  • Facility Phone: 435 283-0340
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TYLER MERRILL
  • NPI Number: 1548633837
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2171733
LAB Type Pharmacy
Facility Name EPHRAIM MARKET FRESH PHARMACY
Street 475 S MAIN STREET
City EPHRAIM
State UT
ZIP 84627
Phone 435 283-0340
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2025
Certificate Expiration Date 9/8/2027
Facility Type Pharmacy
Lab Director TYLER MERRILL

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