46D2018270 CLIA NUMBER - UTAH SURGICAL ARTS

Laboratory Demographics

  • CLIA Code: 46D2018270
  • Facility Name: UTAH SURGICAL ARTS
  • Facility Address: 3610 N UNIVERSITY AVE STE 150
    PROVO, UT
    ZIP 84604
  • Facility Phone: 801 356-2226
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DAVID A. PARK
  • NPI Number: 1275722357
  • Taxonomy: 261QS0112X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D2018270
LAB Type Ambulatory Surgery Center
Facility Name UTAH SURGICAL ARTS
Street 3610 N UNIVERSITY AVE STE 150
City PROVO
State UT
ZIP 84604
Phone 801 356-2226
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/30/2024
Certificate Expiration Date 12/29/2026
Facility Type Ambulatory Surgery Center
Lab Director DAVID A. PARK

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