46D2082640 CLIA NUMBER - ASPEN DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 46D2082640
  • Facility Name: ASPEN DERMATOLOGY
  • Facility Address: 945 W HOSPITAL DRIVE, SUITE #4
    PRICE, UT
    ZIP 84501
  • Facility Phone: 801 794-1490
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: CHAD R. PETERSON
  • NPI Number: 1689943300
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 46D2082640
LAB Type Physician Office
Facility Name ASPEN DERMATOLOGY
Street 945 W HOSPITAL DRIVE, SUITE #4
City PRICE
State UT
ZIP 84501
Phone 801 794-1490
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 6/16/2025
Certificate Expiration Date 6/15/2027
Facility Type Physician Office
Lab Director CHAD R. PETERSON

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