46D2322830 CLIA NUMBER - OGDEN ENDOSCOPY CENTER LLC

Laboratory Demographics

  • CLIA Code: 46D2322830
  • Facility Name: OGDEN ENDOSCOPY CENTER LLC
  • Facility Address: 3903 MEDICAL DRIVE, SUITE 4000
    OGDEN, UT
    ZIP 84403
  • Facility Phone: 904 631-7680
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: KYLE J. ELIASON
  • NPI Number: 1568285096
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D2322830
LAB Type Ambulatory Surgery Center
Facility Name OGDEN ENDOSCOPY CENTER LLC
Street 3903 MEDICAL DRIVE, SUITE 4000
City OGDEN
State UT
ZIP 84403
Phone 904 631-7680
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2025
Certificate Expiration Date 4/27/2027
Facility Type Ambulatory Surgery Center
Lab Director KYLE J. ELIASON

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