46D2272981 CLIA NUMBER - WESTBROEK FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 46D2272981
  • Facility Name: WESTBROEK FAMILY MEDICINE
  • Facility Address: 475 40TH ST, STE 111
    OGDEN, UT
    ZIP 84403
  • Facility Phone: 801 515-7997
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: RYAN WESTBROEK
  • NPI Number: 1609538552
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 46D2272981
LAB Type Practitioner Other
Facility Name WESTBROEK FAMILY MEDICINE
Street 475 40TH ST, STE 111
City OGDEN
State UT
ZIP 84403
Phone 801 515-7997
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2024
Certificate Expiration Date 12/4/2026
Facility Type Practitioner Other
Lab Director RYAN WESTBROEK

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