46D2061117 CLIA NUMBER - SEAGER MEMORIAL CLINIC

Laboratory Demographics

  • CLIA Code: 46D2061117
  • Facility Name: SEAGER MEMORIAL CLINIC
  • Facility Address: OGDEN RESCUE MISSION 2775 WALL AVE
    OGDEN, UT
    ZIP 84401
  • Facility Phone: 801 394-4161
  • Facility Type: Other - FREE CLINIC
  • Facility Type: Waiver
  • Lab Director: RUTH A. BROCKMAN
  • NPI Number: 1780376673
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2061117
LAB Type Other - FREE CLINIC
Facility Name SEAGER MEMORIAL CLINIC
Street OGDEN RESCUE MISSION 2775 WALL AVE
City OGDEN
State UT
ZIP 84401
Phone 801 394-4161
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2025
Certificate Expiration Date 6/23/2027
Facility Type Other - FREE CLINIC
Lab Director RUTH A. BROCKMAN

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