46D1044395 CLIA NUMBER - RIVERWOODS SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 46D1044395
  • Facility Name: RIVERWOODS SURGERY CENTER
  • Facility Address: 320 W RIVER PARK DR STE 125
    PROVO, UT
    ZIP 84604
  • Facility Phone: 801 437-4500
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ADAM SHURTZ
  • NPI Number: 1538100649
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D1044395
LAB Type Ambulatory Surgery Center
Facility Name RIVERWOODS SURGERY CENTER
Street 320 W RIVER PARK DR STE 125
City PROVO
State UT
ZIP 84604
Phone 801 437-4500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2025
Certificate Expiration Date 8/17/2027
Facility Type Ambulatory Surgery Center
Lab Director ADAM SHURTZ

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