46D0960126 CLIA NUMBER - BRUCE A ISAACSON MD

Laboratory Demographics

  • CLIA Code: 46D0960126
  • Facility Name: BRUCE A ISAACSON MD
  • Facility Address: 550 E 1400 N STE Z
    LOGAN, UT
    ZIP 84341
  • Facility Phone:
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRUCE A. ISAACSON
  • NPI Number: 1881762649
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 46D0960126
LAB Type Physician Office
Facility Name BRUCE A ISAACSON MD
Street 550 E 1400 N STE Z
City LOGAN
State UT
ZIP 84341
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2025
Certificate Expiration Date 4/28/2027
Facility Type Physician Office
Lab Director BRUCE A. ISAACSON

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