46D0708158 CLIA NUMBER - SPRINGVILLE CLINIC - FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 46D0708158
  • Facility Name: SPRINGVILLE CLINIC - FAMILY MEDICINE
  • Facility Address: 762 W 400 S
    SPRINGVILLE, UT
    ZIP 84663
  • Facility Phone: 801 429-1200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIEL B. TOVEY
  • NPI Number: 1629104542
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 46D0708158
LAB Type Physician Office
Facility Name SPRINGVILLE CLINIC - FAMILY MEDICINE
Street 762 W 400 S
City SPRINGVILLE
State UT
ZIP 84663
Phone 801 429-1200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2025
Certificate Expiration Date 4/14/2027
Facility Type Physician Office
Lab Director DANIEL B. TOVEY

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