46D1057370 CLIA NUMBER - CASCADE COSMETIC SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 46D1057370
  • Facility Name: CASCADE COSMETIC SURGERY CENTER
  • Facility Address: 1375 E 800 N #205
    OREM, UT
    ZIP 84097
  • Facility Phone: 801 418-8172
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: TRENTON C. JONES
  • NPI Number: 1750323861
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D1057370
LAB Type Ambulatory Surgery Center
Facility Name CASCADE COSMETIC SURGERY CENTER
Street 1375 E 800 N #205
City OREM
State UT
ZIP 84097
Phone 801 418-8172
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2024
Certificate Expiration Date 8/9/2026
Facility Type Ambulatory Surgery Center
Lab Director TRENTON C. JONES

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