46D2037327 CLIA NUMBER - MICHAEL F PINGREE, MD

Laboratory Demographics

  • CLIA Code: 46D2037327
  • Facility Name: MICHAEL F PINGREE, MD
  • Facility Address: 3465 S 4155 W STE 5
    SALT LAKE CITY, UT
    ZIP 84120
  • Facility Phone: 801 966-0081
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL F. PINGREE
  • NPI Number: 1982716031
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 46D2037327
LAB Type Physician Office
Facility Name MICHAEL F PINGREE, MD
Street 3465 S 4155 W STE 5
City SALT LAKE CITY
State UT
ZIP 84120
Phone 801 966-0081
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2024
Certificate Expiration Date 2/22/2026
Facility Type Physician Office
Lab Director MICHAEL F. PINGREE

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