46D1052477 CLIA NUMBER - PHYSICIANS SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 46D1052477
  • Facility Name: PHYSICIANS SURGERY CENTER
  • Facility Address: 1485 E 3900 S
    SALT LAKE CITY, UT
    ZIP 84124
  • Facility Phone: 801 277-2062
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DAVID L. SKALKA
  • NPI Number: 1356395586
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D1052477
LAB Type Ambulatory Surgery Center
Facility Name PHYSICIANS SURGERY CENTER
Street 1485 E 3900 S
City SALT LAKE CITY
State UT
ZIP 84124
Phone 801 277-2062
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2024
Certificate Expiration Date 3/26/2026
Facility Type Ambulatory Surgery Center
Lab Director DAVID L. SKALKA

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