46D0524039 CLIA NUMBER - SALT LAKE DERMATOLOGY AND AESTHETICS

Laboratory Demographics

  • CLIA Code: 46D0524039
  • Facility Name: SALT LAKE DERMATOLOGY AND AESTHETICS
  • Facility Address: 250 E 300 S SUITE 120
    SALT LAKE CITY, UT
    ZIP 84111
  • Facility Phone: 801 521-5630
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MICHAEL SOTIRIOU
  • NPI Number: 1154536647
  • Taxonomy: 207NS0135X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 46D0524039
LAB Type Physician Office
Facility Name SALT LAKE DERMATOLOGY AND AESTHETICS
Street 250 E 300 S SUITE 120
City SALT LAKE CITY
State UT
ZIP 84111
Phone 801 521-5630
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/25/2024
Certificate Expiration Date 4/24/2026
Facility Type Physician Office
Lab Director MICHAEL SOTIRIOU

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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