46D0522670 CLIA NUMBER - WASATCH MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 46D0522670
  • Facility Name: WASATCH MEDICAL CLINIC
  • Facility Address: 35 SOUTH 500 EAST
    HEBER CITY, UT
    ZIP 84032
  • Facility Phone: 801 654-1501
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: STANTON B. MCDONALD
  • NPI Number: 1841016672
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D0522670
LAB Type Physician Office
Facility Name WASATCH MEDICAL CLINIC
Street 35 SOUTH 500 EAST
City HEBER CITY
State UT
ZIP 84032
Phone 801 654-1501
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director STANTON B. MCDONALD

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