46D0525452 CLIA NUMBER - UTAH COUNTY SURGICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 46D0525452
  • Facility Name: UTAH COUNTY SURGICAL ASSOCIATES
  • Facility Address: 3550 N UNU AVENUE #250
    PROVO, UT
    ZIP 84604
  • Facility Phone: 801 374-9625
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICHARD M. THOMAS
  • NPI Number: 1417629056
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 46D0525452
LAB Type Physician Office
Facility Name UTAH COUNTY SURGICAL ASSOCIATES
Street 3550 N UNU AVENUE #250
City PROVO
State UT
ZIP 84604
Phone 801 374-9625
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director RICHARD M. THOMAS

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