46D2206048 CLIA NUMBER - WALGREENS #15623

Laboratory Demographics

  • CLIA Code: 46D2206048
  • Facility Name: WALGREENS #15623
  • Facility Address: 5586 WEST 6200 SOUTH
    KEARNS, UT
    ZIP 84118
  • Facility Phone: 801 968-0108
  • Facility Type: Other - COVID-19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: SUBASH BASNET
  • NPI Number: 1942627542
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 46D2206048
LAB Type Other - COVID-19 TEST SITE
Facility Name WALGREENS #15623
Street 5586 WEST 6200 SOUTH
City KEARNS
State UT
ZIP 84118
Phone 801 968-0108
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2024
Certificate Expiration Date 12/16/2026
Facility Type Other - COVID-19 TEST SITE
Lab Director SUBASH BASNET

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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