46D0525466 CLIA NUMBER - VALLEY WOMEN'S HEALTH - PROVO PHYSICIAN'S PLAZA

Laboratory Demographics

  • CLIA Code: 46D0525466
  • Facility Name: VALLEY WOMEN'S HEALTH - PROVO PHYSICIAN'S PLAZA
  • Facility Address: 1055 N 300 W, SUITE 108
    PROVO, UT
    ZIP 84604
  • Facility Phone: 801 357-7377
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HEIDI NORMAN
  • NPI Number: 1447410634
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 46D0525466
LAB Type Physician Office
Facility Name VALLEY WOMEN'S HEALTH - PROVO PHYSICIAN'S PLAZA
Street 1055 N 300 W, SUITE 108
City PROVO
State UT
ZIP 84604
Phone 801 357-7377
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2023
Certificate Expiration Date 10/24/2025
Facility Type Physician Office
Lab Director HEIDI NORMAN

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