CLIA lab
CLIA 46D2133192: Sam's Club Pharmacy 10-6684
Riverdale, UT. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 46D2133192 belongs to Sam's Club Pharmacy 10-6684 in Riverdale, UT.
Certificate of Waiver, effective July 7, 2025, expires July 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
- July 7, 2025
- Certificate expiration
- July 6, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 7, 2017
- 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
- 46D2133192
- Lab name
- Sam's Club Pharmacy 10-6684
- Address
- 4949 S 900 W, Riverdale, UT 84405
- Phone
- (801) 612-3477
- Fax
- (801) 612-3479
Annual test volume the lab reported
- Waived tests
- 5,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Sam's Club Pharmacy 10-6684 in Riverdale?
46D2133192, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sam's Club Pharmacy 10-6684 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 46D2133192 expire?
The CMS file lists July 6, 2027 as the certificate expiration date; the certificate took effect July 7, 2025.