46D2142280 CLIA NUMBER - DRAPER DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 46D2142280
  • Facility Name: DRAPER DERMATOLOGY
  • Facility Address: 1325 W SOUTH JORDAN PARKWAY, SUITE 103
    SOUTH JORDAN, UT
    ZIP 84095
  • Facility Phone: 801 232-6556
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: LARRY E. URRY
  • NPI Number: 1093224818
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 46D2142280
LAB Type Physician Office
Facility Name DRAPER DERMATOLOGY
Street 1325 W SOUTH JORDAN PARKWAY, SUITE 103
City SOUTH JORDAN
State UT
ZIP 84095
Phone 801 232-6556
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 9/5/2024
Certificate Expiration Date 9/4/2026
Facility Type Physician Office
Lab Director LARRY E. URRY

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