46D0991303 CLIA NUMBER - OREM FAMILY MEDICINE

Laboratory Demographics

CLIA Number: 46D0991303

Facility Name: OREM FAMILY MEDICINE

Facility Address:
173 N 400 W STE C-11
OREM, UT
ZIP 84057
Get Directions

Facility Phone Number: 801 802-7373

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1881915957

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	46D0991303
LAB Type	Physician Office
Facility Name	OREM FAMILY MEDICINE
Street	173 N 400 W STE C-11
City	OREM
State	UT
ZIP	84057
Phone	801 802-7373
CertificateType	2
CertificateEffectiveDate	1/14/2022
CertificateExpirationDate	4/30/2024
FacilityType	Compliance

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024