46D0680826 CLIA NUMBER - CENTRAL UTAH CLINIC DELTA FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 46D0680826
  • Facility Name: CENTRAL UTAH CLINIC DELTA FAMILY MEDICINE
  • Facility Address: 140 S WHITE SAGE AVE
    DELTA, UT
    ZIP 84624
  • Facility Phone: 435 864-3333
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ALAN R. SMITH
  • NPI Number: 1639185424
  • Taxonomy: 101Y00000X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 46D0680826
LAB Type Physician Office
Facility Name CENTRAL UTAH CLINIC DELTA FAMILY MEDICINE
Street 140 S WHITE SAGE AVE
City DELTA
State UT
ZIP 84624
Phone 435 864-3333
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director ALAN R. SMITH

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