46D2034779 CLIA NUMBER - LIFETIME HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 46D2034779
  • Facility Name: LIFETIME HEALTH CLINIC
  • Facility Address: FREEPORT CENTER BLDG D-12
    CLEARFIELD, UT
    ZIP 84016
  • Facility Phone: 801 728-1880
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: JAMES S. SCOVILLE
  • NPI Number: 1780944025
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 46D2034779
LAB Type Community Clinic
Facility Name LIFETIME HEALTH CLINIC
Street FREEPORT CENTER BLDG D-12
City CLEARFIELD
State UT
ZIP 84016
Phone 801 728-1880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2024
Certificate Expiration Date 1/3/2026
Facility Type Community Clinic
Lab Director JAMES S. SCOVILLE

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