46D0973936 CLIA NUMBER - SETH R LEWIS, MD

Laboratory Demographics

  • CLIA Code: 46D0973936
  • Facility Name: SETH R LEWIS, MD
  • Facility Address: 555 EAST 5300 SOUTH, STE 7
    OGDEN, UT
    ZIP 84405
  • Facility Phone: 801 475-5100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SETH R. LEWIS
  • NPI Number: 1851409544
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 46D0973936
LAB Type Physician Office
Facility Name SETH R LEWIS, MD
Street 555 EAST 5300 SOUTH, STE 7
City OGDEN
State UT
ZIP 84405
Phone 801 475-5100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2024
Certificate Expiration Date 5/22/2026
Facility Type Physician Office
Lab Director SETH R. LEWIS

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