46D2056854 CLIA NUMBER - PRECISION MEDICAL FAMILY PRACTICE & URGENT CARE

Laboratory Demographics

  • CLIA Code: 46D2056854
  • Facility Name: PRECISION MEDICAL FAMILY PRACTICE & URGENT CARE
  • Facility Address: 75 SOUTH 200 EAST SUITE #202
    PROVO, UT
    ZIP 84606
  • Facility Phone: 801 375-2207
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BARRY A. CLANTON
  • NPI Number: 1023490091
  • Taxonomy: 363AM0700X - Physician Assistant

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CLIA Record

Field Name Field Value
CLIA Number 46D2056854
LAB Type Physician Office
Facility Name PRECISION MEDICAL FAMILY PRACTICE & URGENT CARE
Street 75 SOUTH 200 EAST SUITE #202
City PROVO
State UT
ZIP 84606
Phone 801 375-2207
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2025
Certificate Expiration Date 4/3/2027
Facility Type Physician Office
Lab Director BARRY A. CLANTON

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