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46D2221689 CLIA NUMBER - UTAH CVS PHARMACY, LLC DAB CVS/PHARMACY #16881

Laboratory Demographics

CLIA Number: 46D2221689

Facility Name: UTAH CVS PHARMACY, LLC DAB CVS/PHARMACY #16881

Facility Address:
175 W CENTER ST
OREM, UT
ZIP 84057
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Facility Phone Number: 866 389-2727

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1710909494

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 46D2221689
LAB Type Pharmacy
Facility Name UTAH CVS PHARMACY, LLC DAB CVS/PHARMACY #16881
Street 175 W CENTER ST
City OREM
State UT
ZIP 84057
Phone 866 389-2727
CertificateType 4
CertificateEffectiveDate 4/23/2023
CertificateExpirationDate 4/22/2025
FacilityType Waiver

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