46D0525086 CLIA NUMBER - PEDIATRIC CARE OF OGDEN

Laboratory Demographics

  • CLIA Code: 46D0525086
  • Facility Name: PEDIATRIC CARE OF OGDEN
  • Facility Address: 1740 E COMBE RD, STE 5
    OGDEN, UT
    ZIP 84403
  • Facility Phone: 801 621-1701
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ROBERT J. NIELSEN
  • NPI Number: 1326166067
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 46D0525086
LAB Type Physician Office
Facility Name PEDIATRIC CARE OF OGDEN
Street 1740 E COMBE RD, STE 5
City OGDEN
State UT
ZIP 84403
Phone 801 621-1701
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 4/16/2024
Certificate Expiration Date 4/15/2026
Facility Type Physician Office
Lab Director ROBERT J. NIELSEN

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