46D1077688 CLIA NUMBER - PACE CLINIC

Laboratory Demographics

  • CLIA Code: 46D1077688
  • Facility Name: PACE CLINIC
  • Facility Address: 405 S MAIN ST
    SPRINGVILLE, UT
    ZIP 84663
  • Facility Phone: 801 491-2238
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AARON C. HARTLE
  • NPI Number: 1447436332
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 46D1077688
LAB Type Physician Office
Facility Name PACE CLINIC
Street 405 S MAIN ST
City SPRINGVILLE
State UT
ZIP 84663
Phone 801 491-2238
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2023
Certificate Expiration Date 12/16/2025
Facility Type Physician Office
Lab Director AARON C. HARTLE

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