46D1094000 CLIA NUMBER - OGDEN CLINIC UTAH HEMATOLOGY ONCOLOGY LAYTON

Laboratory Demographics

  • CLIA Code: 46D1094000
  • Facility Name: OGDEN CLINIC UTAH HEMATOLOGY ONCOLOGY LAYTON
  • Facility Address: 2132 NORTH 1700 WEST #301
    LAYTON, UT
    ZIP 84041
  • Facility Phone: 801 475-3865
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: CARL GRAY
  • NPI Number: 1689868523
  • Taxonomy: 174400000X - Specialist

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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
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 5/5/2023
Certificate Expiration Date 5/4/2025
Facility Type Physician Office
Lab Director CARL GRAY

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This page was last updated on: 3/20/2025