46D0914294 CLIA NUMBER - TANNER CLINIC - KAYSVILLE

Laboratory Demographics

  • CLIA Code: 46D0914294
  • Facility Name: TANNER CLINIC - KAYSVILLE
  • Facility Address: 380 N 400 W
    KAYSVILLE, UT
    ZIP 84037
  • Facility Phone: 801 773-4840
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: RYAN K. WILKS
  • NPI Number: 1104356013
  • Taxonomy: 207KA0200X - Allergy & Immunology

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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
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 12/8/2024
Certificate Expiration Date 12/7/2026
Facility Type Physician Office
Lab Director RYAN K. WILKS

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