46D2252033 CLIA NUMBER - GRANGER PHARMACY

Laboratory Demographics

  • CLIA Code: 46D2252033
  • Facility Name: GRANGER PHARMACY
  • Facility Address: 2965 WEST 3500 SOUTH
    WEST VALLEY CITY, UT
    ZIP 84119
  • Facility Phone: 801 965-3639
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRYAN ALLRED
  • NPI Number: 1740534056
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2252033
LAB Type Pharmacy
Facility Name GRANGER PHARMACY
Street 2965 WEST 3500 SOUTH
City WEST VALLEY CITY
State UT
ZIP 84119
Phone 801 965-3639
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2024
Certificate Expiration Date 2/7/2026
Facility Type Pharmacy
Lab Director BRYAN ALLRED

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