46D2184798 CLIA NUMBER - GALLAGHER PEDIATRICS

Laboratory Demographics

  • CLIA Code: 46D2184798
  • Facility Name: GALLAGHER PEDIATRICS
  • Facility Address: 1441 WEST UTE BLVD, SUITE 220
    PARK CITY, UT
    ZIP 84098
  • Facility Phone: 435 602-0187
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EILEEN GALLAGHER
  • NPI Number: 1861012031
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 46D2184798
LAB Type Physician Office
Facility Name GALLAGHER PEDIATRICS
Street 1441 WEST UTE BLVD, SUITE 220
City PARK CITY
State UT
ZIP 84098
Phone 435 602-0187
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2024
Certificate Expiration Date 5/25/2026
Facility Type Physician Office
Lab Director EILEEN GALLAGHER

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