46D2064223 CLIA NUMBER - PEAK ENT ASSOCIATES

Laboratory Demographics

  • CLIA Code: 46D2064223
  • Facility Name: PEAK ENT ASSOCIATES
  • Facility Address: 1055 N 300 W, STE 401
    PROVO, UT
    ZIP 84604
  • Facility Phone: 801 357-7499
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHAHZAD AHMAD
  • NPI Number: 1346489036
  • Taxonomy: 207YX0905X - Otolaryngology

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CLIA Record

Field Name Field Value
CLIA Number 46D2064223
LAB Type Physician Office
Facility Name PEAK ENT ASSOCIATES
Street 1055 N 300 W, STE 401
City PROVO
State UT
ZIP 84604
Phone 801 357-7499
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Physician Office
Lab Director SHAHZAD AHMAD

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