46D2192094 CLIA NUMBER - DUCHESNE COUNTY JAIL

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Laboratory Demographics

CLIA Number: 46D2192094

Facility Name: DUCHESNE COUNTY JAIL

Facility Address:
21554 W 9000 S
DUCHESNE, UT
ZIP 84021
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Facility Phone Number: 435 738-0190

Facility Type: Prison

Certificate Type: Waiver

NPI Number: 1063651669

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	46D2192094
LAB Type	Prison
Facility Name	DUCHESNE COUNTY JAIL
Street	21554 W 9000 S
City	DUCHESNE
State	UT
ZIP	84021
Phone	435 738-0190
CertificateType	4
CertificateEffectiveDate	9/4/2022
CertificateExpirationDate	9/3/2024
FacilityType	Waiver

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