46D2191754 CLIA NUMBER - PUZZLE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 46D2191754
  • Facility Name: PUZZLE PEDIATRICS
  • Facility Address: 230 N HOSPITAL DR BLD 3, SUITE 3
    PRICE, UT
    ZIP 84501
  • Facility Phone: 208 407-0691
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: C TRAVIS CRIDDLE
  • NPI Number: 1205448057
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 46D2191754
LAB Type Physician Office
Facility Name PUZZLE PEDIATRICS
Street 230 N HOSPITAL DR BLD 3, SUITE 3
City PRICE
State UT
ZIP 84501
Phone 208 407-0691
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director C TRAVIS CRIDDLE

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