46D0942803 CLIA NUMBER - NORTHERN UTAH CARDIOVASCULAR ASSOCIATES

Laboratory Demographics

  • CLIA Code: 46D0942803
  • Facility Name: NORTHERN UTAH CARDIOVASCULAR ASSOCIATES
  • Facility Address: 425 E 5350 S, SUITE 400
    OGDEN, UT
    ZIP 84405
  • Facility Phone: 801 479-0184
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PETER G. FORSTALL MD
  • NPI Number: 1992980890
  • Taxonomy: 261QP2000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D0942803
LAB Type Physician Office
Facility Name NORTHERN UTAH CARDIOVASCULAR ASSOCIATES
Street 425 E 5350 S, SUITE 400
City OGDEN
State UT
ZIP 84405
Phone 801 479-0184
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2024
Certificate Expiration Date 3/16/2026
Facility Type Physician Office
Lab Director PETER G. FORSTALL MD

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