46D2173061 CLIA NUMBER - INFINITE ARCHES, LLC

Laboratory Demographics

  • CLIA Code: 46D2173061
  • Facility Name: INFINITE ARCHES, LLC
  • Facility Address: 136 25TH STREET
    OGDEN, UT
    ZIP 84401
  • Facility Phone: 801 928-7770
  • Facility Type: Other - OUTPATIENT SABSTANCE ABUS
  • Facility Type: Waiver
  • Lab Director: DANIEL T. KELSO
  • NPI Number: 1467912139
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D2173061
LAB Type Other - OUTPATIENT SABSTANCE ABUS
Facility Name INFINITE ARCHES, LLC
Street 136 25TH STREET
City OGDEN
State UT
ZIP 84401
Phone 801 928-7770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2023
Certificate Expiration Date 10/3/2025
Facility Type Other - OUTPATIENT SABSTANCE ABUS
Lab Director DANIEL T. KELSO

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