46D2306617 CLIA NUMBER - WINEGARS PHARMACY

Laboratory Demographics

  • CLIA Code: 46D2306617
  • Facility Name: WINEGARS PHARMACY
  • Facility Address: 1080 W 300 D
    CLEARFIELD, UT
    ZIP 84015
  • Facility Phone: 801 773-7330
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: REBECCA PETERSEN
  • NPI Number: 1205819968
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2306617
LAB Type Prison
Facility Name WINEGARS PHARMACY
Street 1080 W 300 D
City CLEARFIELD
State UT
ZIP 84015
Phone 801 773-7330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2024
Certificate Expiration Date 6/20/2026
Facility Type Prison
Lab Director REBECCA PETERSEN

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