46D1065407 CLIA NUMBER - GRANITE PEAKS ENDOSCOPY,LLC

Laboratory Demographics

  • CLIA Code: 46D1065407
  • Facility Name: GRANITE PEAKS ENDOSCOPY,LLC
  • Facility Address: 10150 SOUTH PETUNIA WAY
    SANDY, UT
    ZIP 84092
  • Facility Phone: 801 619-1115
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ANDREW HEINER, MD
  • NPI Number: 1083758320
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D1065407
LAB Type Ambulatory Surgery Center
Facility Name GRANITE PEAKS ENDOSCOPY,LLC
Street 10150 SOUTH PETUNIA WAY
City SANDY
State UT
ZIP 84092
Phone 801 619-1115
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Ambulatory Surgery Center
Lab Director ANDREW HEINER, MD

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