46D2133385 CLIA NUMBER - WASATCH DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 46D2133385
  • Facility Name: WASATCH DERMATOLOGY
  • Facility Address: 5734 S 1475 E, STE 300
    SOUTH OGDEN, UT
    ZIP 84403
  • Facility Phone: 801 475-5210
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. EMILY POWELL
  • NPI Number: 1891176939
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 46D2133385
LAB Type Physician Office
Facility Name WASATCH DERMATOLOGY
Street 5734 S 1475 E, STE 300
City SOUTH OGDEN
State UT
ZIP 84403
Phone 801 475-5210
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 3/28/2024
Certificate Expiration Date 3/27/2026
Facility Type Physician Office
Lab Director DR. EMILY POWELL

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