46D2324338 CLIA NUMBER - DERMATOLOGY WEST

Laboratory Demographics

  • CLIA Code: 46D2324338
  • Facility Name: DERMATOLOGY WEST
  • Facility Address: 1741 N 2000 W, SUITE #3
    FARR WEST, UT
    ZIP 84404
  • Facility Phone: 801 866-6753
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: TYLER J. MCKINNON
  • NPI Number: 1306635818
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 46D2324338
LAB Type Practitioner Other
Facility Name DERMATOLOGY WEST
Street 1741 N 2000 W, SUITE #3
City FARR WEST
State UT
ZIP 84404
Phone 801 866-6753
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2025
Certificate Expiration Date 5/21/2027
Facility Type Practitioner Other
Lab Director TYLER J. MCKINNON

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