46D0671758 CLIA NUMBER - UNIVERSITY OF UTAH STUDENT HEALTH SVC

Laboratory Demographics

CLIA Number: 46D0671758

Facility Name: UNIVERSITY OF UTAH STUDENT HEALTH SVC

Facility Address:
555 FOOTHILL DRIVE, LEVEL ONE
SALT LAKE CITY, UT
ZIP 84112
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Facility Phone Number: 801 581-6431

Facility Type: School/Student Health Service

Certificate Type: Microscopy

NPI Number: 1588747638

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	46D0671758
LAB Type	School/Student Health Service
Facility Name	UNIVERSITY OF UTAH STUDENT HEALTH SVC
Street	555 FOOTHILL DRIVE, LEVEL ONE
City	SALT LAKE CITY
State	UT
ZIP	84112
Phone	801 581-6431
CertificateType	3
CertificateEffectiveDate	10/14/2023
CertificateExpirationDate	10/13/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024