46D0914294 CLIA NUMBER - TANNER CLINIC - KAYSVILLE

Laboratory Demographics

CLIA Number: 46D0914294

Facility Name: TANNER CLINIC - KAYSVILLE

Facility Address:
380 N 400 W
KAYSVILLE, UT
ZIP 84037
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Facility Phone Number: 801 773-4840

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1104356013

Taxonomy: 207KA0200X - Allergy & Immunology
A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	46D0914294
LAB Type	Physician Office
Facility Name	TANNER CLINIC - KAYSVILLE
Street	380 N 400 W
City	KAYSVILLE
State	UT
ZIP	84037
Phone	801 773-4840
CertificateType	2
CertificateEffectiveDate	12/8/2022
CertificateExpirationDate	12/7/2024
FacilityType	Compliance

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This page was last updated on: 4/23/2024