CLIA lab
CLIA 46D2087979: Ridley's Pharmacy #1165
Eagle Mountain, UT. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 46D2087979 belongs to Ridley's Pharmacy #1165 in Eagle Mountain, UT.
Certificate of Waiver, effective December 9, 2024, expires December 8, 2026.
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
- December 9, 2024
- Certificate expiration
- December 8, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 9, 2014
- Facility type
- Pharmacy
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 5
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 46D2087979
- Lab name
- Ridley's Pharmacy #1165
- Address
- 4045 E Pony Express Pkwy, Eagle Mountain, UT 84005
- Phone
- (801) 789-4997
- Fax
- (801) 789-4993
Annual test volume the lab reported
- Waived tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Eagle Mountain, UT
- Careonsite Fbdc UtahCertificate of Waiver, Other46D2320759
- Cedar Valley Health, PLLCCertificate of Waiver, Physician office46D2270581
- City Center PharmacyCertificate of Waiver, Pharmacy46D2259284
- Eagle MTN Family ClinicCertificate of Waiver, Other46D2345075
- Layton Construction - Eagle MountainCertificate of Waiver, Industrial46D2337474
- Premier Family MedicalCertificate for Provider-Performed Microscopy Procedures, Physician office46D2324266
- Premier Family Medical-Eagle MountainCertificate for Provider-Performed Microscopy Procedures, Physician office46D2125977
- Revere Health Eagle Mountain Fm/Urgent CareCertificate of Compliance, Physician office46D2086600
- Revere Health Em Ob/GynCertificate for Provider-Performed Microscopy Procedures, Physician office46D2140946
- Revere Health Weight Loss & Nutrition CenterCertificate of Waiver, Physician office46D2288928
Related
Questions
What is the CLIA number for Ridley's Pharmacy #1165 in Eagle Mountain?
46D2087979, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ridley's Pharmacy #1165 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 46D2087979 expire?
The CMS file lists December 8, 2026 as the certificate expiration date; the certificate took effect December 9, 2024.