46D2229921 CLIA NUMBER - WASATCH FAMILY AND WOMEN'S WELLNESS

Laboratory Demographics

CLIA Number: 46D2229921

Facility Name: WASATCH FAMILY AND WOMEN'S WELLNESS

Facility Address:
345 E GATEWAY DR #150
HEBER CITY, UT
ZIP 84032
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Facility Phone Number: 435 657-0101

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1477649697

Taxonomy: 1223G0001X - Dentist
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

CLIA Record

Field Name	Field Value
CLIA Number	46D2229921
LAB Type	Physician Office
Facility Name	WASATCH FAMILY AND WOMEN'S WELLNESS
Street	345 E GATEWAY DR #150
City	HEBER CITY
State	UT
ZIP	84032
Phone	435 657-0101
CertificateType	4
CertificateEffectiveDate	7/19/2023
CertificateExpirationDate	7/18/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024