46D2025268 CLIA NUMBER - OGDEN CLINIC DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 46D2025268
  • Facility Name: OGDEN CLINIC DERMATOLOGY
  • Facility Address: 4650 HARRISSON BLVD
    OGDEN, UT
    ZIP 84403
  • Facility Phone: 801 475-3090
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: CHAD W. TINGEY
  • NPI Number: 1578550083
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 46D2025268
LAB Type Physician Office
Facility Name OGDEN CLINIC DERMATOLOGY
Street 4650 HARRISSON BLVD
City OGDEN
State UT
ZIP 84403
Phone 801 475-3090
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 11/9/2023
Certificate Expiration Date 11/8/2025
Facility Type Physician Office
Lab Director CHAD W. TINGEY

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