46D2281621 CLIA NUMBER - OGDEN CLINIC PROFESSIONAL CENTER NORTH

Laboratory Demographics

  • CLIA Code: 46D2281621
  • Facility Name: OGDEN CLINIC PROFESSIONAL CENTER NORTH
  • Facility Address: 4650 HARRISON BLVD
    OGDEN, UT
    ZIP 84403
  • Facility Phone: 801 475-3950
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: KELLY AMANN
  • NPI Number: 1114203668
  • Taxonomy: 207QS0010X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 46D2281621
LAB Type Physician Office
Facility Name OGDEN CLINIC PROFESSIONAL CENTER NORTH
Street 4650 HARRISON BLVD
City OGDEN
State UT
ZIP 84403
Phone 801 475-3950
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 6/13/2024
Certificate Expiration Date 6/12/2026
Facility Type Physician Office
Lab Director KELLY AMANN

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