46D2320226 CLIA NUMBER - CACHE VALLEY MIDWIFERY GROUP

Laboratory Demographics

  • CLIA Code: 46D2320226
  • Facility Name: CACHE VALLEY MIDWIFERY GROUP
  • Facility Address: 2380 NORTH 400 EAST, UNIT D
    NORTH LOGAN, UT
    ZIP 84341
  • Facility Phone: 435 770-5627
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: STACY HEPNER
  • NPI Number: 1497553978
  • Taxonomy: 367A00000X - Advanced Practice Midwife

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CLIA Record

Field Name Field Value
CLIA Number 46D2320226
LAB Type Independent
Facility Name CACHE VALLEY MIDWIFERY GROUP
Street 2380 NORTH 400 EAST, UNIT D
City NORTH LOGAN
State UT
ZIP 84341
Phone 435 770-5627
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2025
Certificate Expiration Date 3/13/2027
Facility Type Independent
Lab Director STACY HEPNER

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