Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
46D0678976
|
|
Clinical laboratory number
|
|
Lab Name
|
ALTON H WAGNON MD
|
|
Laboratory Name
|
|
Lab Type
|
Physician Office
|
|
Laboratory Type
|
|
Certificate Type
|
N/S (NOT SPECIFIED)
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
801-476-1777
|
|
Laboratory telephone number
|
|
Fax
|
N/S (NOT SPECIFIED)
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
5309 MOHAWK CIR
|
|
Primary location adress line
|
|
City
|
OGDEN
|
|
Primary location city name
|
|
State
|
UT
|
|
Primary location state name
|
|
Zip
|
84403
|
|
Primary location postal code
|