46D0694743 CLIA NUMBER - JOSEPH M JOHNSON

Laboratory Demographics

  • CLIA Code: 46D0694743
  • Facility Name: JOSEPH M JOHNSON
  • Facility Address: 1675 N 200 W STE 9C
    PROVO, UT
    ZIP 84604
  • Facility Phone: 801 377-4800
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JOSEPH M. JOHNSON MD
  • NPI Number: 1427126192
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 46D0694743
LAB Type Physician Office
Facility Name JOSEPH M JOHNSON
Street 1675 N 200 W STE 9C
City PROVO
State UT
ZIP 84604
Phone 801 377-4800
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 9/13/2024
Certificate Expiration Date 9/12/2026
Facility Type Physician Office
Lab Director JOSEPH M. JOHNSON MD

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