46D0858155 CLIA NUMBER - GOLD CROSS SERVICES INC

Laboratory Demographics

  • CLIA Code: 46D0858155
  • Facility Name: GOLD CROSS SERVICES INC
  • Facility Address: 1717 S REDWOOD RD
    SALT LAKE CITY, UT
    ZIP 84104
  • Facility Phone: 801 975-4306
  • Facility Type: Ambulance
  • Facility Type: Microscopy
  • Lab Director: R GENE MOFFITT
  • NPI Number: 1679560502
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 46D0858155
LAB Type Ambulance
Facility Name GOLD CROSS SERVICES INC
Street 1717 S REDWOOD RD
City SALT LAKE CITY
State UT
ZIP 84104
Phone 801 975-4306
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 3/21/2024
Certificate Expiration Date 3/20/2026
Facility Type Ambulance
Lab Director R GENE MOFFITT

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