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SKULL VALLEY HEALTH CLINIC
NPI 1528525508
Pharmacy in Tooele, UT

Active since February 26, 2019CLIA 46D2166116 · Waiver
1929 N AARON DR STE I, TOOELE, UT 84074(435) 850-1825(844) 847-4640 Get Directions Write a Review

NPPES record last updated: February 26, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Skull Valley Health Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SKULL VALLEY HEALTH CLINIC (NPI 1528525508), doing business as Skull Valley Pharmacy, is a healthcare organization registered as a pharmacy in Tooele, Utah and active in the NPI registry since February 2019. The organization holds a CLIA Waiver certificate valid through May 12, 2027 and lists Cima Ghaffarian, Director, as its authorized official.

NPPES Registry Identity

NPI1528525508
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameSKULL VALLEY HEALTH CLINIC
Location Address1929 N AARON DR STE ITooele, UT 84074-8112
Mailing Address1929 N Aaron Dr Ste ITooele, UT 84074-8112 · (435) 850-1825 · Fax (844) 847-4640
Phone(435) 850-1825
Fax(844) 847-4640
Organization SubpartYesParent: Skull Valley Health Clinic Inc
Authorized OfficialCima GhaffarianDirector · (435) 850-1825
Enumeration DateFebruary 26, 2019
✔ NPI 1528525508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
1929 N AARON DR STE I, Tooele, UT 84074
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Other Names 1

Doing Business AsSkull Valley Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 46D2166116

Skull Valley Health Clinic · Tooele, UT
Active · expires May 12, 2027
CLIA Number46D2166116
Laboratory TypeCommunity Clinic
Certificate Effective DateMay 13, 2025
Certificate Expiration DateMay 12, 2027
Laboratory DirectorDalin Moss
Laboratory Phone(435) 850-1825
Laboratory LocationSkull Valley Health Clinic1929 North Aaron Dr, Ste I, Tooele, UT 84074
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK A REXFORD CPSS
Peer Specialist
1929 N AARON DR STE I
TOOELE, UT 84074
Tooele County (435) 850-1907
MATILDA YELLOWHORSE
Social Worker (Clinical)
1929 N AARON DR STE I
TOOELE, UT 84074
Tooele County (435) 241-1023
DR. JESSICA ERIN SUTHERLAND DNP, PMHNP, RN
Nurse Practitioner (Psychiatric/Mental Health)
1929 N AARON DR STE I
TOOELE, UT 84074
Tooele County (435) 850-1823
GOSHUTE HEALTH CARE LLC
Clinic/Center
1929 N AARON DR STE I
TOOELE, UT 84074
Tooele County (435) 850-1823

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Skull Valley Health Clinic's NPI number?

The NPI number for Skull Valley Health Clinic is 1528525508. It was assigned to this organization in the NPPES registry on February 26, 2019. The provider is doing business as Skull Valley Pharmacy.

Where is Skull Valley Health Clinic located?

Skull Valley Health Clinic is located at 1929 N Aaron Dr Ste I, Tooele, UT 84074. The listed phone number is (435) 850-1825.

What is Skull Valley Health Clinic's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Skull Valley Health Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2166116) is associated with this NPI, valid through May 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Skull Valley Health Clinic accept?

Health plans from Medica and Moda Health Plan, Inc. list Skull Valley Health Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Skull Valley Health Clinic was last updated on February 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.