46D0970318 CLIA NUMBER - KENNETH L CRUMP MD, PC

Laboratory Demographics

  • CLIA Code: 46D0970318
  • Facility Name: KENNETH L CRUMP MD, PC
  • Facility Address: 811 NORTH 900 WEST
    OREM, UT
    ZIP 84057
  • Facility Phone: 801 434-7600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KENNETH L. CRUMP
  • NPI Number: 1891719308
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 46D0970318
LAB Type Physician Office
Facility Name KENNETH L CRUMP MD, PC
Street 811 NORTH 900 WEST
City OREM
State UT
ZIP 84057
Phone 801 434-7600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2024
Certificate Expiration Date 12/5/2026
Facility Type Physician Office
Lab Director KENNETH L. CRUMP

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