46D0992375 CLIA NUMBER - RUSSELL A SMITH MD

Laboratory Demographics

  • CLIA Code: 46D0992375
  • Facility Name: RUSSELL A SMITH MD
  • Facility Address: 9600 S 1300 E #230
    SANDY, UT
    ZIP 84094
  • Facility Phone: (801) 571-7777
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: RUSSELL A. SMITH MD
  • NPI Number: 1427018290
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 46D0992375
LAB Type Physician Office
Facility Name RUSSELL A SMITH MD
Street 9600 S 1300 E #230
City SANDY
State UT
ZIP 84094
Phone 8015717777
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 10/15/2025
Certificate Expiration Date 10/14/2027
Facility Type Physician Office
Lab Director RUSSELL A. SMITH MD

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This page was last updated on: 5/18/2026