46D1062167 CLIA NUMBER - UTAH VALLEY PEDIATRICS-PAYSON

Laboratory Demographics

  • CLIA Code: 46D1062167
  • Facility Name: UTAH VALLEY PEDIATRICS-PAYSON
  • Facility Address: 15 S 1000 E, STE 200
    PAYSON, UT
    ZIP 84651
  • Facility Phone: 801 465-2800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GARRON E. MILLER
  • NPI Number: 1497812721
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 46D1062167
LAB Type Physician Office
Facility Name UTAH VALLEY PEDIATRICS-PAYSON
Street 15 S 1000 E, STE 200
City PAYSON
State UT
ZIP 84651
Phone 801 465-2800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2024
Certificate Expiration Date 12/6/2026
Facility Type Physician Office
Lab Director GARRON E. MILLER

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