46D0522501 CLIA NUMBER - JOE R NIELSEN MD

Laboratory Demographics

  • CLIA Code: 46D0522501
  • Facility Name: JOE R NIELSEN MD
  • Facility Address: 415 MEDICAL DR STE D-200
    BOUNTIFUL, UT
    ZIP 84010
  • Facility Phone: 801 292-6277
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JOE R. NIELSEN MD
  • NPI Number: 1992766885
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 46D0522501
LAB Type Physician Office
Facility Name JOE R NIELSEN MD
Street 415 MEDICAL DR STE D-200
City BOUNTIFUL
State UT
ZIP 84010
Phone 801 292-6277
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/20/2023
Certificate Expiration Date 10/19/2025
Facility Type Physician Office
Lab Director JOE R. NIELSEN MD

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