46D0523696 CLIA NUMBER - MEMORIAL CLINIC

Laboratory Demographics

  • CLIA Code: 46D0523696
  • Facility Name: MEMORIAL CLINIC
  • Facility Address: 2000 S 900 E
    SALT LAKE CITY, UT
    ZIP 84105
  • Facility Phone: (801) 464-7500
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KENT C. ROMNEY
  • NPI Number: 1508904947
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 46D0523696
LAB Type Physician Office
Facility Name MEMORIAL CLINIC
Street 2000 S 900 E
City SALT LAKE CITY
State UT
ZIP 84105
Phone 8014647500
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/21/2025
Certificate Expiration Date 12/20/2027
Facility Type Physician Office
Lab Director KENT C. ROMNEY

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This page was last updated on: 5/18/2026