46D1102181 CLIA NUMBER - FAMILY SURGICAL SUITE

Laboratory Demographics

  • CLIA Code: 46D1102181
  • Facility Name: FAMILY SURGICAL SUITE
  • Facility Address: 151 EAST 5600 SOUTH STE 104
    MURRAY, UT
    ZIP 84107
  • Facility Phone: 801 833-0474
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: TYLER D. DEHART
  • NPI Number: 1508040221
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D1102181
LAB Type Ambulatory Surgery Center
Facility Name FAMILY SURGICAL SUITE
Street 151 EAST 5600 SOUTH STE 104
City MURRAY
State UT
ZIP 84107
Phone 801 833-0474
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2025
Certificate Expiration Date 7/13/2027
Facility Type Ambulatory Surgery Center
Lab Director TYLER D. DEHART

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