46D2287306 CLIA NUMBER - WALGREENS #11674

Laboratory Demographics

  • CLIA Code: 46D2287306
  • Facility Name: WALGREENS #11674
  • Facility Address: 1849 SUNSET BLVD
    ST GEORGE, UT
    ZIP 84770
  • Facility Phone: 435 879-5165
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NATHEN CONNOLLY
  • NPI Number: 1659518363
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2287306
LAB Type Pharmacy
Facility Name WALGREENS #11674
Street 1849 SUNSET BLVD
City ST GEORGE
State UT
ZIP 84770
Phone 435 879-5165
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2025
Certificate Expiration Date 8/10/2027
Facility Type Pharmacy
Lab Director NATHEN CONNOLLY

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