46D2019551 CLIA NUMBER - REVERE HEALTH DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 46D2019551
  • Facility Name: REVERE HEALTH DERMATOLOGY
  • Facility Address: 220 NORTH 1200 EAST SUITE 203
    LEHI, UT
    ZIP 84043
  • Facility Phone: 801 418-0920
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JAMES MCDONALD
  • NPI Number: 1023251204
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D2019551
LAB Type Physician Office
Facility Name REVERE HEALTH DERMATOLOGY
Street 220 NORTH 1200 EAST SUITE 203
City LEHI
State UT
ZIP 84043
Phone 801 418-0920
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 5/6/2025
Certificate Expiration Date 5/5/2027
Facility Type Physician Office
Lab Director JAMES MCDONALD

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This page was last updated on: 6/4/2025