46D1039012 CLIA NUMBER - ABC PEDIATRICS, PC

Laboratory Demographics

  • CLIA Code: 46D1039012
  • Facility Name: ABC PEDIATRICS, PC
  • Facility Address: 6360 S 3000 E STE 230
    COTTONWOOD, UT
    ZIP 84121
  • Facility Phone: 801 523-3030
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PETER K. MOSKOWITZ
  • NPI Number: 1114149572
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 46D1039012
LAB Type Physician Office
Facility Name ABC PEDIATRICS, PC
Street 6360 S 3000 E STE 230
City COTTONWOOD
State UT
ZIP 84121
Phone 801 523-3030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Physician Office
Lab Director PETER K. MOSKOWITZ

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