46D0524037 CLIA NUMBER - AVENUES WOMEN'S CENTER - OB-GYN

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CLIA Record

Field Name Field Value
CLIA Number 46D0524037
LAB Type Physician Office
Facility Name AVENUES WOMEN'S CENTER - OB-GYN
Street 370 NINTH AVENUE SUITE 205
City SALT LAKE CITY
State UT
ZIP 84103
Phone 801 355-9951
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director HANNELE LAINE

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