46D2288650 CLIA NUMBER - IMBODY HEALTH, PLLC

Laboratory Demographics

  • CLIA Code: 46D2288650
  • Facility Name: IMBODY HEALTH, PLLC
  • Facility Address: 1857 N 1000 W, STE #1
    CLINTON, UT
    ZIP 84015
  • Facility Phone: 801 745-5794
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KELLY C. IMLAY
  • NPI Number: 1407637341
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 46D2288650
LAB Type Physician Office
Facility Name IMBODY HEALTH, PLLC
Street 1857 N 1000 W, STE #1
City CLINTON
State UT
ZIP 84015
Phone 801 745-5794
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2023
Certificate Expiration Date 8/28/2025
Facility Type Physician Office
Lab Director KELLY C. IMLAY

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This page was last updated on: 6/4/2025