Healther Providers Data Logo

46D0525121 CLIA NUMBER - MOUNTAIN STAR OGDEN PEDIATRICS

Laboratory Demographics

CLIA Number: 46D0525121

Facility Name: MOUNTAIN STAR OGDEN PEDIATRICS

Facility Address:
5405 S 500 E SUITE 205
OGDEN, UT
ZIP 84405
Get Directions

Facility Phone Number: 801 479-0174

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1265694509

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name Field Value
CLIA Number 46D0525121
LAB Type Physician Office
Facility Name MOUNTAIN STAR OGDEN PEDIATRICS
Street 5405 S 500 E SUITE 205
City OGDEN
State UT
ZIP 84405
Phone 801 479-0174
CertificateType 4
CertificateEffectiveDate 8/1/2022
CertificateExpirationDate 7/31/2024
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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