46D1066021 CLIA NUMBER - ROCKY MOUNTAIN DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 46D1066021
  • Facility Name: ROCKY MOUNTAIN DERMATOLOGY
  • Facility Address: 5748 S ADAMS AVE PARKWAY, SUITE B
    WASHINGTON TERRACE, UT
    ZIP 84405
  • Facility Phone: 801 827-9100
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ROBERT P. YOUNG
  • NPI Number: 1487683215
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 46D1066021
LAB Type Physician Office
Facility Name ROCKY MOUNTAIN DERMATOLOGY
Street 5748 S ADAMS AVE PARKWAY, SUITE B
City WASHINGTON TERRACE
State UT
ZIP 84405
Phone 801 827-9100
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 8/13/2025
Certificate Expiration Date 8/12/2027
Facility Type Physician Office
Lab Director ROBERT P. YOUNG

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