46D2168953 CLIA NUMBER - ON CALL DOC, LLC

Laboratory Demographics

  • CLIA Code: 46D2168953
  • Facility Name: ON CALL DOC, LLC
  • Facility Address: 10437 S JORDAN GATEWAY
    SOUTH JORDAN, UT
    ZIP 84095
  • Facility Phone: 801 877-0705
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHARLES L. CANFIELD
  • NPI Number: 1598005340
  • Taxonomy: 207QA0401X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 46D2168953
LAB Type Physician Office
Facility Name ON CALL DOC, LLC
Street 10437 S JORDAN GATEWAY
City SOUTH JORDAN
State UT
ZIP 84095
Phone 801 877-0705
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2023
Certificate Expiration Date 7/10/2025
Facility Type Physician Office
Lab Director CHARLES L. CANFIELD

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This page was last updated on: 3/20/2025