46D2322248 CLIA NUMBER - EMILY M SMITH

Laboratory Demographics

  • CLIA Code: 46D2322248
  • Facility Name: EMILY M SMITH
  • Facility Address: 581 W CHARLEY WAY
    ERDA, UT
    ZIP 84074
  • Facility Phone: 575 520-2164
  • Facility Type: Other - CONCIERGE MEDICAL BUSINES
  • Facility Type: Waiver
  • Lab Director: EMILY M. SMITH
  • NPI Number: 1932871415
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 46D2322248
LAB Type Other - CONCIERGE MEDICAL BUSINES
Facility Name EMILY M SMITH
Street 581 W CHARLEY WAY
City ERDA
State UT
ZIP 84074
Phone 575 520-2164
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2025
Certificate Expiration Date 4/16/2027
Facility Type Other - CONCIERGE MEDICAL BUSINES
Lab Director EMILY M. SMITH

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