46D2137205 CLIA NUMBER - ASPEN DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 46D2137205
  • Facility Name: ASPEN DERMATOLOGY
  • Facility Address: 753 S 1040 W
    PAYSON, UT
    ZIP 84651
  • Facility Phone: (801) 794-1490
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: CHAD R. PETERSON
  • NPI Number: 1407917107
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 46D2137205
LAB Type Physician Office
Facility Name ASPEN DERMATOLOGY
Street 753 S 1040 W
City PAYSON
State UT
ZIP 84651
Phone 8017941490
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 5/31/2026
Facility Type Physician Office
Lab Director CHAD R. PETERSON

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This page was last updated on: 5/18/2026