46D2289898 CLIA NUMBER - WALGREENS 19999

Laboratory Demographics

  • CLIA Code: 46D2289898
  • Facility Name: WALGREENS 19999
  • Facility Address: 5540 SOUTH 900 EAST
    SALT LAKE CITY, UT
    ZIP 84117
  • Facility Phone: 801 262-2981
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: REBECCA L. WEBSTER
  • NPI Number: 1114440120
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2289898
LAB Type Pharmacy
Facility Name WALGREENS 19999
Street 5540 SOUTH 900 EAST
City SALT LAKE CITY
State UT
ZIP 84117
Phone 801 262-2981
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2025
Certificate Expiration Date 9/17/2027
Facility Type Pharmacy
Lab Director REBECCA L. WEBSTER

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