46D1006747 CLIA NUMBER - UTAH SURGICAL CENTER

Laboratory Demographics

  • CLIA Code: 46D1006747
  • Facility Name: UTAH SURGICAL CENTER
  • Facility Address: 3715 W 4100 S
    WEST VALLEY CITY, UT
    ZIP 84120
  • Facility Phone: 801 957-0200
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JEFF WRIGHT
  • NPI Number: 1629032305
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D1006747
LAB Type Ambulatory Surgery Center
Facility Name UTAH SURGICAL CENTER
Street 3715 W 4100 S
City WEST VALLEY CITY
State UT
ZIP 84120
Phone 801 957-0200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/27/2024
Certificate Expiration Date 11/26/2026
Facility Type Ambulatory Surgery Center
Lab Director JEFF WRIGHT

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