46D2012567 CLIA NUMBER - MOUNTAINSTAR WEST POINT FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 46D2012567
  • Facility Name: MOUNTAINSTAR WEST POINT FAMILY MEDICINE
  • Facility Address: 81 NORTH 2000 WEST, F-2
    WEST POINT, UT
    ZIP 84015
  • Facility Phone: 385 430-8400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LEA DAVIS
  • NPI Number: 1649372723
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 46D2012567
LAB Type Physician Office
Facility Name MOUNTAINSTAR WEST POINT FAMILY MEDICINE
Street 81 NORTH 2000 WEST, F-2
City WEST POINT
State UT
ZIP 84015
Phone 385 430-8400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2024
Certificate Expiration Date 9/6/2026
Facility Type Physician Office
Lab Director LEA DAVIS

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