46D2287543 CLIA NUMBER - WALGREENS 19121

Laboratory Demographics

  • CLIA Code: 46D2287543
  • Facility Name: WALGREENS 19121
  • Facility Address: 72 SOUTH MAIN STREET
    SALT LAKE CITY, UT
    ZIP 84101
  • Facility Phone: 801 531-0583
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NATALIA RUIZ-NEGRON
  • NPI Number: 1770006769
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2287543
LAB Type Pharmacy
Facility Name WALGREENS 19121
Street 72 SOUTH MAIN STREET
City SALT LAKE CITY
State UT
ZIP 84101
Phone 801 531-0583
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Pharmacy
Lab Director NATALIA RUIZ-NEGRON

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