46D1065409 CLIA NUMBER - MICHEAL T SWINYARD, MD

Laboratory Demographics

  • CLIA Code: 46D1065409
  • Facility Name: MICHEAL T SWINYARD, MD
  • Facility Address: 1258 W SOUTH JORDAN PKWY STE 103
    SOUTH JORDAN, UT
    ZIP 84095
  • Facility Phone: 801 479-0174
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHEAL T. SWINYARD, MD
  • NPI Number: 1760511422
  • Taxonomy: 225700000X - Massage Therapist

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CLIA Record

Field Name Field Value
CLIA Number 46D1065409
LAB Type Physician Office
Facility Name MICHEAL T SWINYARD, MD
Street 1258 W SOUTH JORDAN PKWY STE 103
City SOUTH JORDAN
State UT
ZIP 84095
Phone 801 479-0174
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Physician Office
Lab Director MICHEAL T. SWINYARD, MD

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