46D2307350 CLIA NUMBER - AZOVA CARE GROUP

Laboratory Demographics

  • CLIA Code: 46D2307350
  • Facility Name: AZOVA CARE GROUP
  • Facility Address: 144 S MAIN ST #300
    ALPINE, UT
    ZIP 84004
  • Facility Phone: (844) 692-9682
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHERYL LEE EBERTING
  • NPI Number: 1285357921
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 46D2307350
LAB Type Physician Office
Facility Name AZOVA CARE GROUP
Street 144 S MAIN ST #300
City ALPINE
State UT
ZIP 84004
Phone 8446929682
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2024
Certificate Expiration Date 7/7/2026
Facility Type Physician Office
Lab Director CHERYL LEE EBERTING

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This page was last updated on: 6/29/2026