46D1082831 CLIA NUMBER - CIRQUE LODGE

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Field Name	Field Value
CLIA Number	46D1082831
LAB Type	Other
Facility Name	CIRQUE LODGE
Street	3114 E IDAS RD
City	SUNDANCE
State	UT
ZIP	84604
Phone	801 222-9200
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	4/21/2024
Certificate Expiration Date	4/20/2026
Facility Type	Other
Lab Director	GARY FISHER

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