46D2278680 CLIA NUMBER - SHELBY PITTS FNP PLLC

Laboratory Demographics

  • CLIA Code: 46D2278680
  • Facility Name: SHELBY PITTS FNP PLLC
  • Facility Address: 5640 WASATCH DRIVE, #A
    SOUTH OGDEN, UT
    ZIP 84403
  • Facility Phone: 801 920-6974
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: SHELBY A. PITTS
  • NPI Number: 1679079784
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 46D2278680
LAB Type Practitioner Other
Facility Name SHELBY PITTS FNP PLLC
Street 5640 WASATCH DRIVE, #A
City SOUTH OGDEN
State UT
ZIP 84403
Phone 801 920-6974
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2025
Certificate Expiration Date 3/21/2027
Facility Type Practitioner Other
Lab Director SHELBY A. PITTS

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