46D2192438 CLIA NUMBER - BE WELL MEDICAL, PLLC

Laboratory Demographics

  • CLIA Code: 46D2192438
  • Facility Name: BE WELL MEDICAL, PLLC
  • Facility Address: 3935 N 75 W
    HYDE PARK, UT
    ZIP 84318
  • Facility Phone: 435 359-0720
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ANDREA L. SKATES
  • NPI Number: 1669092169
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D2192438
LAB Type Practitioner Other
Facility Name BE WELL MEDICAL, PLLC
Street 3935 N 75 W
City HYDE PARK
State UT
ZIP 84318
Phone 435 359-0720
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/10/2024
Certificate Expiration Date 9/9/2026
Facility Type Practitioner Other
Lab Director ANDREA L. SKATES

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