46D2287382 CLIA NUMBER - WALGREENS 18974

Laboratory Demographics

  • CLIA Code: 46D2287382
  • Facility Name: WALGREENS 18974
  • Facility Address: 2332 EAST 21ST SOUTH
    SALT LAKE CITY, UT
    ZIP 84109
  • Facility Phone: 801 466-9949
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERIC EVANS
  • NPI Number: 1659894707
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2287382
LAB Type Pharmacy
Facility Name WALGREENS 18974
Street 2332 EAST 21ST SOUTH
City SALT LAKE CITY
State UT
ZIP 84109
Phone 801 466-9949
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Pharmacy
Lab Director ERIC EVANS

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