46D1073164 CLIA NUMBER - SOUTH SUMMIT PEDIATRICS

Laboratory Demographics

  • CLIA Code: 46D1073164
  • Facility Name: SOUTH SUMMIT PEDIATRICS
  • Facility Address: 267 E TRAVERSE POINT DR
    DRAPER, UT
    ZIP 84020
  • Facility Phone: 801 553-8300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAUL S. LEI MD
  • NPI Number: 1760490122
  • Taxonomy: 173000000X - Legal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 46D1073164
LAB Type Physician Office
Facility Name SOUTH SUMMIT PEDIATRICS
Street 267 E TRAVERSE POINT DR
City DRAPER
State UT
ZIP 84020
Phone 801 553-8300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2024
Certificate Expiration Date 4/30/2026
Facility Type Physician Office
Lab Director PAUL S. LEI MD

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