46D1021836 CLIA NUMBER - SARA A WELLS MD

Laboratory Demographics

  • CLIA Code: 46D1021836
  • Facility Name: SARA A WELLS MD
  • Facility Address: 1174 EAST GRAYSTONE WAY SUITE 10
    SALT LAKE CITY, UT
    ZIP 84106
  • Facility Phone: 801 474-0355
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SARA A. WELLS MD
  • NPI Number: 1528164621
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 46D1021836
LAB Type Physician Office
Facility Name SARA A WELLS MD
Street 1174 EAST GRAYSTONE WAY SUITE 10
City SALT LAKE CITY
State UT
ZIP 84106
Phone 801 474-0355
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2024
Certificate Expiration Date 2/1/2026
Facility Type Physician Office
Lab Director SARA A. WELLS MD

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