46D1024014 CLIA NUMBER - MOUNTAINWEST SURGICAL CENTER

Laboratory Demographics

  • CLIA Code: 46D1024014
  • Facility Name: MOUNTAINWEST SURGICAL CENTER
  • Facility Address: 1551 S RENAISSANCE TOWNE DR STE 200
    BOUNTIFUL, UT
    ZIP 84010
  • Facility Phone: 801 383-1111
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ELISE LAYNE
  • NPI Number: 1003119470
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D1024014
LAB Type Ambulatory Surgery Center
Facility Name MOUNTAINWEST SURGICAL CENTER
Street 1551 S RENAISSANCE TOWNE DR STE 200
City BOUNTIFUL
State UT
ZIP 84010
Phone 801 383-1111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2024
Certificate Expiration Date 3/30/2026
Facility Type Ambulatory Surgery Center
Lab Director ELISE LAYNE

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