46D0930704 CLIA NUMBER - CANYON VIEW CLINIC

Laboratory Demographics

  • CLIA Code: 46D0930704
  • Facility Name: CANYON VIEW CLINIC
  • Facility Address: 698 12TH ST
    OGDEN, UT
    ZIP 84404
  • Facility Phone: 801 334-3132
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. PHIL STEPHENSON
  • NPI Number: 1487736161
  • Taxonomy: 3336C0004X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D0930704
LAB Type Physician Office
Facility Name CANYON VIEW CLINIC
Street 698 12TH ST
City OGDEN
State UT
ZIP 84404
Phone 801 334-3132
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Physician Office
Lab Director DR. PHIL STEPHENSON

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