46D2207551 CLIA NUMBER - HOLTS PHARMACY

Laboratory Demographics

  • CLIA Code: 46D2207551
  • Facility Name: HOLTS PHARMACY
  • Facility Address: 134 W 1180 N, STE 12
    TOOELE, UT
    ZIP 84074
  • Facility Phone: 435 249-0767
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: REBECCA C. HOLT
  • NPI Number: 1063853547
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2207551
LAB Type Pharmacy
Facility Name HOLTS PHARMACY
Street 134 W 1180 N, STE 12
City TOOELE
State UT
ZIP 84074
Phone 435 249-0767
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/29/2024
Certificate Expiration Date 12/28/2026
Facility Type Pharmacy
Lab Director REBECCA C. HOLT

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