CLIA lab
CLIA 46D2011525: Walgreens #05875
West Jordan, UT. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 46D2011525 belongs to Walgreens #05875 in West Jordan, UT.
Certificate of Waiver, effective April 7, 2025, expires April 6, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- April 7, 2025
- Certificate expiration
- April 6, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 17, 2010
- Facility type
- Pharmacy
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 46D2011525
- Lab name
- Walgreens #05875
- Address
- 7794 Redwood Rd, West Jordan, UT 84084
- Phone
- (801) 566-7663
- Fax
- (801) 561-4204
Annual test volume the lab reported
- Waived tests
- 12,775
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Clinical Consultants Family ClinicCertificate of Waiver, Physician office46D2273919
- Clinical Consultants LLCCertificate of Compliance, Independent46D2173983
- Commonspirit Cardiology Jordan ValleyCertificate of Waiver, Physician office46D0979610
- Commonspirit Endocrinology, Diabetes & ThyroidCertificate of Waiver, Physician office46D2106031
- Commonspirit Primary Care Jordan ValleyCertificate of Waiver, Physician office46D0523185
- Commonspirit Primary Care West JordanCertificate of Waiver, Physician office46D0949560
- Copper Hills Youth CenterCertificate of Waiver, Other46D0927232
- Copper Ridge Health CareCertificate of Waiver, Skilled nursing or nursing facility46D0858538
Related
Questions
What is the CLIA number for Walgreens #05875 in West Jordan?
46D2011525, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens #05875 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 46D2011525 expire?
The CMS file lists April 6, 2027 as the certificate expiration date; the certificate took effect April 7, 2025.