46D1023607 CLIA NUMBER - UTAH SURGERY CENTER LP DBA LONE PEAK SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 46D1023607
  • Facility Name: UTAH SURGERY CENTER LP DBA LONE PEAK SURGERY CENTER
  • Facility Address: 96 E KIMBALLS LANE, SUITE 100
    DRAPER, UT
    ZIP 84020
  • Facility Phone: 801 233-9300
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ANTHONY G. GIANOULIS
  • NPI Number: 1598772634
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D1023607
LAB Type Ambulatory Surgery Center
Facility Name UTAH SURGERY CENTER LP DBA LONE PEAK SURGERY CENTER
Street 96 E KIMBALLS LANE, SUITE 100
City DRAPER
State UT
ZIP 84020
Phone 801 233-9300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2024
Certificate Expiration Date 3/17/2026
Facility Type Ambulatory Surgery Center
Lab Director ANTHONY G. GIANOULIS

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