46D2297202 CLIA NUMBER - VALDAR LLC

Laboratory Demographics

  • CLIA Code: 46D2297202
  • Facility Name: VALDAR LLC
  • Facility Address: 230 S MAIN STREET
    BOUNTIFUL, UT
    ZIP 84010
  • Facility Phone: 801 784-8414
  • Facility Type: Practitioner Other
  • Facility Type: Microscopy
  • Lab Director: VALARIE JACOBS
  • NPI Number: 1336619675
  • Taxonomy: 363LF0000X - Nurse Practitioner

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 46D2297202
LAB Type Practitioner Other
Facility Name VALDAR LLC
Street 230 S MAIN STREET
City BOUNTIFUL
State UT
ZIP 84010
Phone 801 784-8414
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 1/11/2024
Certificate Expiration Date 1/10/2026
Facility Type Practitioner Other
Lab Director VALARIE JACOBS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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