46D2200277 CLIA NUMBER - BRIDGERLAND TECHNICAL COLLEGE

Laboratory Demographics

  • CLIA Code: 46D2200277
  • Facility Name: BRIDGERLAND TECHNICAL COLLEGE
  • Facility Address: 1301 NORTH 600 WEST
    LOGAN, UT
    ZIP 84321
  • Facility Phone: 435 750-6780
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: LISA MOON
  • NPI Number: 1740526425
  • Taxonomy: 237600000X - Audiologist-Hearing Aid Fitter

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CLIA Record

Field Name Field Value
CLIA Number 46D2200277
LAB Type School/Student Health Service
Facility Name BRIDGERLAND TECHNICAL COLLEGE
Street 1301 NORTH 600 WEST
City LOGAN
State UT
ZIP 84321
Phone 435 750-6780
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2024
Certificate Expiration Date 11/12/2026
Facility Type School/Student Health Service
Lab Director LISA MOON

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