46D1094000 CLIA NUMBER - OGDEN CLINIC UTAH HEMATOLOGY ONCOLOGY LAYTON

Laboratory Demographics

CLIA Number: 46D1094000

Facility Name: OGDEN CLINIC UTAH HEMATOLOGY ONCOLOGY LAYTON

Facility Address:
2132 NORTH 1700 WEST #301
LAYTON, UT
ZIP 84041
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Facility Phone Number: 801 475-3865

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1689868523

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	46D1094000
LAB Type	Physician Office
Facility Name	OGDEN CLINIC UTAH HEMATOLOGY ONCOLOGY LAYTON
Street	2132 NORTH 1700 WEST #301
City	LAYTON
State	UT
ZIP	84041
Phone	801 475-3865
CertificateType	2
CertificateEffectiveDate	5/5/2023
CertificateExpirationDate	5/4/2025
FacilityType	Compliance

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This page was last updated on: 4/23/2024