46D2203555 CLIA NUMBER - BRADE'S PLACE

Laboratory Demographics

  • CLIA Code: 46D2203555
  • Facility Name: BRADE'S PLACE
  • Facility Address: 417 SOUTH PALISADE DRIVE
    OREM, UT
    ZIP 84097
  • Facility Phone: 801 368-4499
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: REBECCA R. OAKLEY
  • NPI Number: 1093480584
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 46D2203555
LAB Type Practitioner Other
Facility Name BRADE'S PLACE
Street 417 SOUTH PALISADE DRIVE
City OREM
State UT
ZIP 84097
Phone 801 368-4499
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2024
Certificate Expiration Date 12/3/2026
Facility Type Practitioner Other
Lab Director REBECCA R. OAKLEY

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