46D2043494 CLIA NUMBER - MARATHON HEALTH CENTER A BENEFIT OF CHG HEALTH & WELLNESS

Laboratory Demographics

  • CLIA Code: 46D2043494
  • Facility Name: MARATHON HEALTH CENTER A BENEFIT OF CHG HEALTH & WELLNESS
  • Facility Address: 7259 SOUTH BINGHAM JUNCTION
    MIDVALE, UT
    ZIP 84047
  • Facility Phone: 802 857-0400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHEAL CARMICHEAL
  • NPI Number: 1376083071
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 46D2043494
LAB Type Physician Office
Facility Name MARATHON HEALTH CENTER A BENEFIT OF CHG HEALTH & WELLNESS
Street 7259 SOUTH BINGHAM JUNCTION
City MIDVALE
State UT
ZIP 84047
Phone 802 857-0400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/3/2024
Certificate Expiration Date 7/2/2026
Facility Type Physician Office
Lab Director MICHEAL CARMICHEAL

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