46D0882892 CLIA NUMBER - BRIAN W HEATON MD

Laboratory Demographics

  • CLIA Code: 46D0882892
  • Facility Name: BRIAN W HEATON MD
  • Facility Address: 4403 HARRISON BLVD STE 4400
    OGDEN, UT
    ZIP 84403
  • Facility Phone: 801 387-4550
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BRIAN W. HEATON
  • NPI Number: 1245248236
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 46D0882892
LAB Type Physician Office
Facility Name BRIAN W HEATON MD
Street 4403 HARRISON BLVD STE 4400
City OGDEN
State UT
ZIP 84403
Phone 801 387-4550
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 11/29/2024
Certificate Expiration Date 11/28/2026
Facility Type Physician Office
Lab Director BRIAN W. HEATON

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