46D2301575 CLIA NUMBER - ROCKY MOUNTAIN DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 46D2301575
  • Facility Name: ROCKY MOUNTAIN DERMATOLOGY
  • Facility Address: 55 N 775 E
    TREMONTON, UT
    ZIP 84337
  • Facility Phone: 435 787-0560
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT P. YOUNG
  • NPI Number: 1154527372
  • Taxonomy: 207N00000X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 46D2301575
LAB Type Physician Office
Facility Name ROCKY MOUNTAIN DERMATOLOGY
Street 55 N 775 E
City TREMONTON
State UT
ZIP 84337
Phone 435 787-0560
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2024
Certificate Expiration Date 3/27/2026
Facility Type Physician Office
Lab Director ROBERT P. YOUNG

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