46D2115873 CLIA NUMBER - WEBER STATE UNIVERSITY EMPLOYEE WELLNESS

Laboratory Demographics

  • CLIA Code: 46D2115873
  • Facility Name: WEBER STATE UNIVERSITY EMPLOYEE WELLNESS
  • Facility Address: 3650 TAYLOR AVE
    OGDEN, UT
    ZIP 84408
  • Facility Phone: 801 626-6480
  • Facility Type: Other - ONSITE CORPORATE WELLNESS
  • Facility Type: Waiver
  • Lab Director: RAEANNA N. JOHNSON
  • NPI Number: 1053702431
  • Taxonomy: 207QS0010X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 46D2115873
LAB Type Other - ONSITE CORPORATE WELLNESS
Facility Name WEBER STATE UNIVERSITY EMPLOYEE WELLNESS
Street 3650 TAYLOR AVE
City OGDEN
State UT
ZIP 84408
Phone 801 626-6480
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2024
Certificate Expiration Date 7/13/2026
Facility Type Other - ONSITE CORPORATE WELLNESS
Lab Director RAEANNA N. JOHNSON

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