46D2124058 CLIA NUMBER - CONCENTRA-OREM

Laboratory Demographics

  • CLIA Code: 46D2124058
  • Facility Name: CONCENTRA-OREM
  • Facility Address: 601 N 1200 W
    OREM, UT
    ZIP 84057
  • Facility Phone: 801 224-4211
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANGELO LAMBOS
  • NPI Number: 1992242622
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D2124058
LAB Type Physician Office
Facility Name CONCENTRA-OREM
Street 601 N 1200 W
City OREM
State UT
ZIP 84057
Phone 801 224-4211
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2025
Certificate Expiration Date 1/8/2027
Facility Type Physician Office
Lab Director ANGELO LAMBOS

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