46D1044256 CLIA NUMBER - EVOLUTIONARY HEALTHCARE

Laboratory Demographics

  • CLIA Code: 46D1044256
  • Facility Name: EVOLUTIONARY HEALTHCARE
  • Facility Address: 461 E 200 S STE 100
    SALT LAKE CITY, UT
    ZIP 84111
  • Facility Phone: 801 971-4562
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CAROL A. OSBORN
  • NPI Number: 1851349344
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 46D1044256
LAB Type Physician Office
Facility Name EVOLUTIONARY HEALTHCARE
Street 461 E 200 S STE 100
City SALT LAKE CITY
State UT
ZIP 84111
Phone 801 971-4562
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 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Physician Office
Lab Director CAROL A. OSBORN

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