46D2068799 CLIA NUMBER - BRIGHAM INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 46D2068799
  • Facility Name: BRIGHAM INTERNAL MEDICINE
  • Facility Address: 950 SOUTH MEDICAL DRIVE, SUITE 106
    BRIGHAM, UT
    ZIP 84302
  • Facility Phone: 435 734-4088
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN R. MARKESON MD
  • NPI Number: 1003246950
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 46D2068799
LAB Type Physician Office
Facility Name BRIGHAM INTERNAL MEDICINE
Street 950 SOUTH MEDICAL DRIVE, SUITE 106
City BRIGHAM
State UT
ZIP 84302
Phone 435 734-4088
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2023
Certificate Expiration Date 11/11/2025
Facility Type Physician Office
Lab Director JOHN R. MARKESON MD

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