46D2050990 CLIA NUMBER - BAYMARK HEALTH SERVICES OF UTAH, INC DBA BAART PROGRAMS OGDEN

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Laboratory Demographics

CLIA Number: 46D2050990

Facility Name: BAYMARK HEALTH SERVICES OF UTAH, INC DBA BAART PROGRAMS OGDEN

Facility Address:
2557 LINCOLN AVENUE
OGDEN, UT
ZIP 84401
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Facility Phone Number: 801 261-5790

Facility Type: Other - NARCOTIC TREATMENT PORGRA

Certificate Type: Waiver

NPI Number: 1982170528

Taxonomy: 261QR0405X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	46D2050990
LAB Type	Other - NARCOTIC TREATMENT PORGRA
Facility Name	BAYMARK HEALTH SERVICES OF UTAH, INC DBA BAART PROGRAMS OGDEN
Street	2557 LINCOLN AVENUE
City	OGDEN
State	UT
ZIP	84401
Phone	801 261-5790
CertificateType	4
CertificateEffectiveDate	12/11/2022
CertificateExpirationDate	12/10/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024