46D2220279 CLIA NUMBER - WALGREENS #11337

Laboratory Demographics

  • CLIA Code: 46D2220279
  • Facility Name: WALGREENS #11337
  • Facility Address: 1948 W CROSS HOLLOW RD
    CEDAR CITY, UT
    ZIP 84720
  • Facility Phone: 435 868-4009
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THOMAS O. DELAINE
  • NPI Number: 1013193838
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2220279
LAB Type Pharmacy
Facility Name WALGREENS #11337
Street 1948 W CROSS HOLLOW RD
City CEDAR CITY
State UT
ZIP 84720
Phone 435 868-4009
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2025
Certificate Expiration Date 4/11/2027
Facility Type Pharmacy
Lab Director THOMAS O. DELAINE

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