46D0693585 CLIA NUMBER - SUNNYSIDE PEDIATRICS, LLC

Laboratory Demographics

  • CLIA Code: 46D0693585
  • Facility Name: SUNNYSIDE PEDIATRICS, LLC
  • Facility Address: 24 S 1100 E #301
    SALT LAKE CITY, UT
    ZIP 84102
  • Facility Phone: 801 521-2640
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SHARON K. SCHRIEWER
  • NPI Number: 1275940611
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D0693585
LAB Type Physician Office
Facility Name SUNNYSIDE PEDIATRICS, LLC
Street 24 S 1100 E #301
City SALT LAKE CITY
State UT
ZIP 84102
Phone 801 521-2640
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 SHARON K. SCHRIEWER

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