46D0950188 CLIA NUMBER - WASATCH ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 46D0950188
  • Facility Name: WASATCH ENDOSCOPY CENTER
  • Facility Address: 1220 E 3900 S #1B
    SALT LAKE CITY, UT
    ZIP 84124
  • Facility Phone: 801 281-3657
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JASON WILLS
  • NPI Number: 1881701290
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D0950188
LAB Type Ambulatory Surgery Center
Facility Name WASATCH ENDOSCOPY CENTER
Street 1220 E 3900 S #1B
City SALT LAKE CITY
State UT
ZIP 84124
Phone 801 281-3657
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2024
Certificate Expiration Date 8/19/2026
Facility Type Ambulatory Surgery Center
Lab Director JASON WILLS

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