46D1092063 CLIA NUMBER - MOUNTAIN STAR CARDIOVASCULAR SURGERY-OGDEN

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Field Name	Field Value
CLIA Number	46D1092063
LAB Type	Physician Office
Facility Name	MOUNTAIN STAR CARDIOVASCULAR SURGERY-OGDEN
Street	425 E 5350 S, SUITE 405
City	OGDEN
State	UT
ZIP	84405
Phone	801 476-6900
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	11/17/2024
Certificate Expiration Date	11/16/2026
Facility Type	Physician Office
Lab Director	ROBERT F. ZINK

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