46D2223962 CLIA NUMBER - WALGREENS #19032

Laboratory Demographics

  • CLIA Code: 46D2223962
  • Facility Name: WALGREENS #19032
  • Facility Address: 3250 S 700 E
    SALT LAKE CITY, UT
    ZIP 84106
  • Facility Phone: 801 467-0152
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NATHAN WILSON
  • NPI Number: 1962925909
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2223962
LAB Type Pharmacy
Facility Name WALGREENS #19032
Street 3250 S 700 E
City SALT LAKE CITY
State UT
ZIP 84106
Phone 801 467-0152
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2025
Certificate Expiration Date 5/10/2027
Facility Type Pharmacy
Lab Director NATHAN WILSON

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