46D2010490 CLIA NUMBER - SOUTH JORDAN HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 46D2010490
  • Facility Name: SOUTH JORDAN HEALTH CENTER
  • Facility Address: 5126 W DAYBREAK PARKWAY
    SOUTH JORDAN, UT
    ZIP 84095
  • Facility Phone: 801 213-4500
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DAVID OWEN
  • NPI Number: 1336706043
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 46D2010490
LAB Type Physician Office
Facility Name SOUTH JORDAN HEALTH CENTER
Street 5126 W DAYBREAK PARKWAY
City SOUTH JORDAN
State UT
ZIP 84095
Phone 801 213-4500
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/29/2024
Certificate Expiration Date 7/28/2026
Facility Type Physician Office
Lab Director DAVID OWEN

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