46D1003020 CLIA NUMBER - AMERICAN FORK PEDIATRICS INC

Laboratory Demographics

  • CLIA Code: 46D1003020
  • Facility Name: AMERICAN FORK PEDIATRICS INC
  • Facility Address: 1248 E 90 N, SUITE 202
    AMERICAN FORK, UT
    ZIP 84003
  • Facility Phone: 801 492-4333
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL D. WHITING
  • NPI Number: 1730568445
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 46D1003020
LAB Type Physician Office
Facility Name AMERICAN FORK PEDIATRICS INC
Street 1248 E 90 N, SUITE 202
City AMERICAN FORK
State UT
ZIP 84003
Phone 801 492-4333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2024
Certificate Expiration Date 8/19/2026
Facility Type Physician Office
Lab Director MICHAEL D. WHITING

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