46D2193694 CLIA NUMBER - HWP MED, LLC

Laboratory Demographics

  • CLIA Code: 46D2193694
  • Facility Name: HWP MED, LLC
  • Facility Address: 2775 W CROOKED STICK DR
    LEHI, UT
    ZIP 84043
  • Facility Phone: 801 341-8729
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JASON R. VANSHAAR
  • NPI Number: 1730709015
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 46D2193694
LAB Type Physician Office
Facility Name HWP MED, LLC
Street 2775 W CROOKED STICK DR
City LEHI
State UT
ZIP 84043
Phone 801 341-8729
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2024
Certificate Expiration Date 9/22/2026
Facility Type Physician Office
Lab Director JASON R. VANSHAAR

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