46D2151774 CLIA NUMBER - WOSETH DERMATOLOGY, PC

Laboratory Demographics

  • CLIA Code: 46D2151774
  • Facility Name: WOSETH DERMATOLOGY, PC
  • Facility Address: 4040 WEST DAYBREAK PKWY, STE 200
    SOUTH JORDAN, UT
    ZIP 84009
  • Facility Phone: 801 266-8841
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. DOUGLAS M. WOSETH
  • NPI Number: 1457470585
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 46D2151774
LAB Type Physician Office
Facility Name WOSETH DERMATOLOGY, PC
Street 4040 WEST DAYBREAK PKWY, STE 200
City SOUTH JORDAN
State UT
ZIP 84009
Phone 801 266-8841
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 5/30/2025
Certificate Expiration Date 5/29/2027
Facility Type Physician Office
Lab Director DR. DOUGLAS M. WOSETH

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