46D2279100 CLIA NUMBER - AFFINITY HEALTHCARE INC

Laboratory Demographics

  • CLIA Code: 46D2279100
  • Facility Name: AFFINITY HEALTHCARE INC
  • Facility Address: 2380 N 400 E, STE B
    LOGAN, UT
    ZIP 84341
  • Facility Phone: 435 276-0888
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIELA P. FAWSON
  • NPI Number: 1144928854
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 46D2279100
LAB Type Physician Office
Facility Name AFFINITY HEALTHCARE INC
Street 2380 N 400 E, STE B
City LOGAN
State UT
ZIP 84341
Phone 435 276-0888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Physician Office
Lab Director DANIELA P. FAWSON

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