46D2022858 CLIA NUMBER - VINCENT SURGICAL ARTS LLC

Laboratory Demographics

  • CLIA Code: 46D2022858
  • Facility Name: VINCENT SURGICAL ARTS LLC
  • Facility Address: 6710 SO BLACKSTONE ROAD #201
    COTTONWOOD, UT
    ZIP 84121
  • Facility Phone: 801 942-1111
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DRAKE G. VINCENT
  • NPI Number: 1538572169
  • Taxonomy: 2086S0122X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 46D2022858
LAB Type Ambulatory Surgery Center
Facility Name VINCENT SURGICAL ARTS LLC
Street 6710 SO BLACKSTONE ROAD #201
City COTTONWOOD
State UT
ZIP 84121
Phone 801 942-1111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2025
Certificate Expiration Date 4/10/2027
Facility Type Ambulatory Surgery Center
Lab Director DRAKE G. VINCENT

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