46D0524732 CLIA NUMBER - BRIGHAM MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 46D0524732
  • Facility Name: BRIGHAM MEDICAL CLINIC
  • Facility Address: 600 W HOSPITAL RD
    BRIGHAM CITY, UT
    ZIP 84302
  • Facility Phone: 435 734-2041
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID WILDING
  • NPI Number: 1922119528
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 46D0524732
LAB Type Physician Office
Facility Name BRIGHAM MEDICAL CLINIC
Street 600 W HOSPITAL RD
City BRIGHAM CITY
State UT
ZIP 84302
Phone 435 734-2041
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2024
Certificate Expiration Date 3/1/2026
Facility Type Physician Office
Lab Director DAVID WILDING

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This page was last updated on: 6/4/2025