46D0525211 CLIA NUMBER - LONE PEAK DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 46D0525211
  • Facility Name: LONE PEAK DERMATOLOGY
  • Facility Address: 11760 S 700 E SUITE 210
    DRAPER, UT
    ZIP 84020
  • Facility Phone: 801 572-8043
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: CHRISTOPHER M. MORENO
  • NPI Number: 1811150550
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 46D0525211
LAB Type Physician Office
Facility Name LONE PEAK DERMATOLOGY
Street 11760 S 700 E SUITE 210
City DRAPER
State UT
ZIP 84020
Phone 801 572-8043
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/18/2024
Certificate Expiration Date 5/17/2026
Facility Type Physician Office
Lab Director CHRISTOPHER M. MORENO

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