46D1009729 CLIA NUMBER - RAY ANDREW MD

Laboratory Demographics

  • CLIA Code: 46D1009729
  • Facility Name: RAY ANDREW MD
  • Facility Address: 2700 S HWY 191, SUITE #2
    MOAB, UT
    ZIP 84532
  • Facility Phone: 435 259-4466
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MARIE PACKARD
  • NPI Number: 1093804809
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 46D1009729
LAB Type Physician Office
Facility Name RAY ANDREW MD
Street 2700 S HWY 191, SUITE #2
City MOAB
State UT
ZIP 84532
Phone 435 259-4466
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/9/2024
Certificate Expiration Date 12/8/2026
Facility Type Physician Office
Lab Director MARIE PACKARD

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