46D2280206 CLIA NUMBER - UTAH CVS PHARMACY, LLC DBA CVS-PHARMACY #10741

Laboratory Demographics

  • CLIA Code: 46D2280206
  • Facility Name: UTAH CVS PHARMACY, LLC DBA CVS-PHARMACY #10741
  • Facility Address: 4082 SOUTH REDWOOD ROAD
    SALT LAKE CITY, UT
    ZIP 84123
  • Facility Phone: 801 973-6438
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LANORA MONTAG
  • NPI Number: 1396259321
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2280206
LAB Type Pharmacy
Facility Name UTAH CVS PHARMACY, LLC DBA CVS-PHARMACY #10741
Street 4082 SOUTH REDWOOD ROAD
City SALT LAKE CITY
State UT
ZIP 84123
Phone 801 973-6438
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2025
Certificate Expiration Date 4/13/2027
Facility Type Pharmacy
Lab Director LANORA MONTAG

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