46D1072979 CLIA NUMBER - BOUNTIFUL CLINIC - DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 46D1072979
  • Facility Name: BOUNTIFUL CLINIC - DERMATOLOGY
  • Facility Address: 390 NORTH MAIN
    BOUNTIFUL, UT
    ZIP 84010
  • Facility Phone: 801 397-6600
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. JOHN E. ROBISON
  • NPI Number: 1194903328
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 46D1072979
LAB Type Physician Office
Facility Name BOUNTIFUL CLINIC - DERMATOLOGY
Street 390 NORTH MAIN
City BOUNTIFUL
State UT
ZIP 84010
Phone 801 397-6600
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 11/8/2024
Certificate Expiration Date 11/7/2026
Facility Type Physician Office
Lab Director DR. JOHN E. ROBISON

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