CLIA lab
CLIA 46D0524801: Kelly W Hubbard MD
North Logan, UT. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 46D0524801 belongs to Kelly W Hubbard MD in North Logan, UT.
Certificate of Compliance, effective July 11, 2026, expires July 10, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Compliance
- Certificate effective
- July 11, 2026
- Certificate expiration
- July 10, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 46D0524801
- Lab name
- Kelly W Hubbard MD
- Additional name
- Cache Valley Dermatology
- Address
- 2245 N 400 E, Ste 104, North Logan, UT 84341
- Phone
- (435) 752-5741
- Fax
- (435) 752-5746
Annual test volume the lab reported
- Waived tests
- 770
- Provider-performed microscopy tests
- 105
- Other nonwaived tests
- 2,707
- Total
- 3,582
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in North Logan, UT
- Cache Valley Hospital LaboratoryCertificate of Accreditation, Hospital46D0978066
- Cache Valley Midwifery GroupCertificate of Waiver, Independent46D2320226
- Cache Valley Ogden ClinicCertificate of Waiver, Public health laboratory46D2318636
- Cache Valley PharmacyCertificate of Waiver, Pharmacy46D2326866
- Conceptions Fertility Center LoganCertificate of Compliance, Physician office46D2296942
- Golden Steps LLCCertificate of Waiver, Other46D2174640
- Health West North LoganCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center46D2055058
- Maple Springs Management, LLCCertificate of Waiver, Skilled nursing or nursing facility46D2116932
- Rocky Mountain DermatologyCertificate of Compliance, Physician office46D0948038
- Valley Womens Health - Logan DivisionCertificate for Provider-Performed Microscopy Procedures, Physician office46D2213218
Related
Questions
What is the CLIA number for Kelly W Hubbard MD in North Logan?
46D0524801, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kelly W Hubbard MD hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 46D0524801 expire?
The CMS file lists July 10, 2028 as the certificate expiration date; the certificate took effect July 11, 2026.