46D0699048 CLIA NUMBER - DANIEL J HANSEN, DO, PLLC

Laboratory Demographics

  • CLIA Code: 46D0699048
  • Facility Name: DANIEL J HANSEN, DO, PLLC
  • Facility Address: 1495 E RIDGELINE DR
    OGDEN, UT
    ZIP 84405
  • Facility Phone: 801 399-3324
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DANIEL J. HANSEN, DO
  • NPI Number: 1114121217
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 46D0699048
LAB Type Physician Office
Facility Name DANIEL J HANSEN, DO, PLLC
Street 1495 E RIDGELINE DR
City OGDEN
State UT
ZIP 84405
Phone 801 399-3324
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 4/27/2025
Certificate Expiration Date 4/26/2027
Facility Type Physician Office
Lab Director DANIEL J. HANSEN, DO

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