46D0966652 CLIA NUMBER - CANYONS MEDICAL CENTER

Laboratory Demographics

CLIA Number: 46D0966652

Facility Name: CANYONS MEDICAL CENTER

Facility Address:
9355 S 1300 E
SANDY, UT
ZIP 84094
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Facility Phone Number: 801 666-6650

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1043324312

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	46D0966652
LAB Type	Physician Office
Facility Name	CANYONS MEDICAL CENTER
Street	9355 S 1300 E
City	SANDY
State	UT
ZIP	84094
Phone	801 666-6650
CertificateType	4
CertificateEffectiveDate	5/18/2023
CertificateExpirationDate	5/17/2025
FacilityType	Waiver

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