46D1055278 CLIA NUMBER - UUHC CENTERVILLE HEALTH CENTER LABORATORY

Laboratory Demographics

CLIA Number: 46D1055278

Facility Name: UUHC CENTERVILLE HEALTH CENTER LABORATORY

Facility Address:
26 SOUTH MAIN
CENTERVILLE, UT
ZIP 84014
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Facility Phone Number: 801 693-7900

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1699179267

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	46D1055278
LAB Type	Physician Office
Facility Name	UUHC CENTERVILLE HEALTH CENTER LABORATORY
Street	26 SOUTH MAIN
City	CENTERVILLE
State	UT
ZIP	84014
Phone	801 693-7900
CertificateType	4
CertificateEffectiveDate	9/14/2023
CertificateExpirationDate	9/13/2025
FacilityType	Waiver

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