46D0724547 CLIA NUMBER - GRANGER MEDICAL ALTA VIEW OBSTETRICS & GYNECOLOGY

Laboratory Demographics

  • CLIA Code: 46D0724547
  • Facility Name: GRANGER MEDICAL ALTA VIEW OBSTETRICS & GYNECOLOGY
  • Facility Address: 9660 S 1300 E, STE 60
    SANDY, UT
    ZIP 84094
  • Facility Phone: 801 571-0009
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ROBERT W. LATER
  • NPI Number: 1174821250
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 46D0724547
LAB Type Physician Office
Facility Name GRANGER MEDICAL ALTA VIEW OBSTETRICS & GYNECOLOGY
Street 9660 S 1300 E, STE 60
City SANDY
State UT
ZIP 84094
Phone 801 571-0009
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 ROBERT W. LATER

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