46D2270367 CLIA NUMBER - INTERMOUNTAIN ALTA VIEW DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 46D2270367
  • Facility Name: INTERMOUNTAIN ALTA VIEW DERMATOLOGY
  • Facility Address: 9450 S 1300 E, SUITE 201
    SANDY, UT
    ZIP 84094
  • Facility Phone: 801 501-2125
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: CHRISTOPHER ENGLISH
  • NPI Number: 1447367164
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 46D2270367
LAB Type Community Clinic
Facility Name INTERMOUNTAIN ALTA VIEW DERMATOLOGY
Street 9450 S 1300 E, SUITE 201
City SANDY
State UT
ZIP 84094
Phone 801 501-2125
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/13/2024
Certificate Expiration Date 10/12/2026
Facility Type Community Clinic
Lab Director CHRISTOPHER ENGLISH

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This page was last updated on: 6/4/2025