46D0524399 CLIA NUMBER - WEST VALLEY DERMATOLOGY

Laboratory Demographics

CLIA Number: 46D0524399

Facility Name: WEST VALLEY DERMATOLOGY

Facility Address:
4133 PIONEER PARKWAY SUITE 120
WEST VALLEY CITY, UT
ZIP 84120
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Facility Phone Number: 801 966-1403

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1215031620

Taxonomy: 207W00000X - Ophthalmology
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

CLIA Record

Field Name	Field Value
CLIA Number	46D0524399
LAB Type	Physician Office
Facility Name	WEST VALLEY DERMATOLOGY
Street	4133 PIONEER PARKWAY SUITE 120
City	WEST VALLEY CITY
State	UT
ZIP	84120
Phone	801 966-1403
CertificateType	2
CertificateEffectiveDate	5/20/2023
CertificateExpirationDate	5/19/2025
FacilityType	Compliance

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This page was last updated on: 4/23/2024