46D2270229 CLIA NUMBER - HOLLADAY DERMATOLOGY & AESTHETICS

Laboratory Demographics

  • CLIA Code: 46D2270229
  • Facility Name: HOLLADAY DERMATOLOGY & AESTHETICS
  • Facility Address: 1775 E 4500 S
    HOLLADAY, UT
    ZIP 84117
  • Facility Phone: 801 272-4408
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT B. TOPHAM
  • NPI Number: 1770124893
  • Taxonomy: 103TC0700X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 46D2270229
LAB Type Physician Office
Facility Name HOLLADAY DERMATOLOGY & AESTHETICS
Street 1775 E 4500 S
City HOLLADAY
State UT
ZIP 84117
Phone 801 272-4408
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2024
Certificate Expiration Date 10/11/2026
Facility Type Physician Office
Lab Director ROBERT B. TOPHAM

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