46D2261106 CLIA NUMBER - GARY HOLLAND MD PC

Laboratory Demographics

  • CLIA Code: 46D2261106
  • Facility Name: GARY HOLLAND MD PC
  • Facility Address: 375 N MAIN STREET, SUITE 103
    KAYSVILLE, UT
    ZIP 84037
  • Facility Phone: 801 876-3749
  • Facility Type: Other - MOBILE PHYSICIAN GROUP
  • Facility Type: Waiver
  • Lab Director: HEATHER M. SWARENS
  • NPI Number: 1780780189
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 46D2261106
LAB Type Other - MOBILE PHYSICIAN GROUP
Facility Name GARY HOLLAND MD PC
Street 375 N MAIN STREET, SUITE 103
City KAYSVILLE
State UT
ZIP 84037
Phone 801 876-3749
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2024
Certificate Expiration Date 5/25/2026
Facility Type Other - MOBILE PHYSICIAN GROUP
Lab Director HEATHER M. SWARENS

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