46D2034427 CLIA NUMBER - GAMMAWEST BRACHYTHERAPY

Laboratory Demographics

  • CLIA Code: 46D2034427
  • Facility Name: GAMMAWEST BRACHYTHERAPY
  • Facility Address: 2132 NORTH 1700 WEST
    LAYTON, UT
    ZIP 84041
  • Facility Phone: 801 456-8401
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MELINDA P. FORBUSH
  • NPI Number: 1053451617
  • Taxonomy: 2085R0001X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 46D2034427
LAB Type Physician Office
Facility Name GAMMAWEST BRACHYTHERAPY
Street 2132 NORTH 1700 WEST
City LAYTON
State UT
ZIP 84041
Phone 801 456-8401
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2023
Certificate Expiration Date 12/21/2025
Facility Type Physician Office
Lab Director MELINDA P. FORBUSH

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