46D2246263 CLIA NUMBER - LIVING TREE URGENT CARE

Laboratory Demographics

  • CLIA Code: 46D2246263
  • Facility Name: LIVING TREE URGENT CARE
  • Facility Address: 1201 S MAIN ST, STE 110
    LOGAN, UT
    ZIP 84321
  • Facility Phone: 435 565-6043
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: WILLIAM BETZ
  • NPI Number: 1366112922
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D2246263
LAB Type Practitioner Other
Facility Name LIVING TREE URGENT CARE
Street 1201 S MAIN ST, STE 110
City LOGAN
State UT
ZIP 84321
Phone 435 565-6043
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2023
Certificate Expiration Date 12/21/2025
Facility Type Practitioner Other
Lab Director WILLIAM BETZ

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