46D2326873 CLIA NUMBER - KINDLYMD

Laboratory Demographics

  • CLIA Code: 46D2326873
  • Facility Name: KINDLYMD
  • Facility Address: 425 E 5350 S, SUITE 205
    OGDEN, UT
    ZIP 84405
  • Facility Phone: 801 851-5554
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHANE JAIMEZ
  • NPI Number: 1487446324
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D2326873
LAB Type Physician Office
Facility Name KINDLYMD
Street 425 E 5350 S, SUITE 205
City OGDEN
State UT
ZIP 84405
Phone 801 851-5554
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2025
Certificate Expiration Date 7/10/2027
Facility Type Physician Office
Lab Director SHANE JAIMEZ

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