46D2266125 CLIA NUMBER - SALMON PHARMACY

Laboratory Demographics

  • CLIA Code: 46D2266125
  • Facility Name: SALMON PHARMACY
  • Facility Address: 865 N 980 W
    OREM, UT
    ZIP 84057
  • Facility Phone: 801 225-2150
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MATT R. VAN BUSKIRK
  • NPI Number: 1205977162
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2266125
LAB Type Pharmacy
Facility Name SALMON PHARMACY
Street 865 N 980 W
City OREM
State UT
ZIP 84057
Phone 801 225-2150
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/5/2024
Certificate Expiration Date 8/4/2026
Facility Type Pharmacy
Lab Director MATT R. VAN BUSKIRK

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