46D0994772 CLIA NUMBER - KENNETH L CRUMP, MD PC

Laboratory Demographics

  • CLIA Code: 46D0994772
  • Facility Name: KENNETH L CRUMP, MD PC
  • Facility Address: 41 E 1140 N, SUITE C
    SARATOGA SPRINGS, UT
    ZIP 84045
  • Facility Phone: 801 766-2121
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KENNETH L. CRUMP
  • NPI Number: 1053408450
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 46D0994772
LAB Type Physician Office
Facility Name KENNETH L CRUMP, MD PC
Street 41 E 1140 N, SUITE C
City SARATOGA SPRINGS
State UT
ZIP 84045
Phone 801 766-2121
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2024
Certificate Expiration Date 1/3/2026
Facility Type Physician Office
Lab Director KENNETH L. CRUMP

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