46D0989585 CLIA NUMBER - UTAH COUNTY CJC (CHILD JUSTICE)

Laboratory Demographics

  • CLIA Code: 46D0989585
  • Facility Name: UTAH COUNTY CJC (CHILD JUSTICE)
  • Facility Address: 315 S 100 E
    PROVO, UT
    ZIP 84606
  • Facility Phone: 801 851-8517
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: WHITNEY A. COPE
  • NPI Number: 1639318736
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 46D0989585
LAB Type Community Clinic
Facility Name UTAH COUNTY CJC (CHILD JUSTICE)
Street 315 S 100 E
City PROVO
State UT
ZIP 84606
Phone 801 851-8517
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2024
Certificate Expiration Date 10/18/2026
Facility Type Community Clinic
Lab Director WHITNEY A. COPE

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