46D2201487 CLIA NUMBER - JOLLEY'S SANDY PHARMACY

Laboratory Demographics

  • CLIA Code: 46D2201487
  • Facility Name: JOLLEY'S SANDY PHARMACY
  • Facility Address: 9829 S 1300 E
    SANDY, UT
    ZIP 84094
  • Facility Phone: 801 571-0201
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TROY JOHANSON
  • NPI Number: 1518046283
  • Taxonomy: 3336C0004X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2201487
LAB Type Pharmacy
Facility Name JOLLEY'S SANDY PHARMACY
Street 9829 S 1300 E
City SANDY
State UT
ZIP 84094
Phone 801 571-0201
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2024
Certificate Expiration Date 11/19/2026
Facility Type Pharmacy
Lab Director TROY JOHANSON

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