46D2222114 CLIA NUMBER - WALGREENS #11673

Laboratory Demographics

  • CLIA Code: 46D2222114
  • Facility Name: WALGREENS #11673
  • Facility Address: 1235 W STATE ST
    HURRICANE, UT
    ZIP 84737
  • Facility Phone: 435 635-1071
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WYATT T. GARRETT
  • NPI Number: 1780834374
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2222114
LAB Type Pharmacy
Facility Name WALGREENS #11673
Street 1235 W STATE ST
City HURRICANE
State UT
ZIP 84737
Phone 435 635-1071
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2025
Certificate Expiration Date 4/26/2027
Facility Type Pharmacy
Lab Director WYATT T. GARRETT

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