46D2308660 CLIA NUMBER - MIQUELLE M SMITH APRN PLLC

Laboratory Demographics

  • CLIA Code: 46D2308660
  • Facility Name: MIQUELLE M SMITH APRN PLLC
  • Facility Address: 9600 S 1300 E, SUITE 235
    SANDY, UT
    ZIP 84094
  • Facility Phone: 801 619-0999
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MIQUELLE SMITH
  • NPI Number: 1982456026
  • Taxonomy: 363LW0102X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 46D2308660
LAB Type Physician Office
Facility Name MIQUELLE M SMITH APRN PLLC
Street 9600 S 1300 E, SUITE 235
City SANDY
State UT
ZIP 84094
Phone 801 619-0999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2024
Certificate Expiration Date 7/30/2026
Facility Type Physician Office
Lab Director MIQUELLE SMITH

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