46D0522497 CLIA NUMBER - OAKS MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 46D0522497
  • Facility Name: OAKS MEDICAL GROUP
  • Facility Address: 470 MEDICAL DRIVE
    BOUNTIFUL, UT
    ZIP 84010
  • Facility Phone: 801 292-1464
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSHUA B. OAKS
  • NPI Number: 1215313283
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 46D0522497
LAB Type Physician Office
Facility Name OAKS MEDICAL GROUP
Street 470 MEDICAL DRIVE
City BOUNTIFUL
State UT
ZIP 84010
Phone 801 292-1464
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director JOSHUA B. OAKS

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