46D2025278 CLIA NUMBER - COMMONSPIRIT CARDIOLOGY WEST VALLEY

Laboratory Demographics

  • CLIA Code: 46D2025278
  • Facility Name: COMMONSPIRIT CARDIOLOGY WEST VALLEY
  • Facility Address: 3336 SO 4155 W SUITE 203
    WEST VALLEY CITY, UT
    ZIP 84120
  • Facility Phone: 801 290-7153
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID MASSINAOPLE
  • NPI Number: 1013954411
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 46D2025278
LAB Type Physician Office
Facility Name COMMONSPIRIT CARDIOLOGY WEST VALLEY
Street 3336 SO 4155 W SUITE 203
City WEST VALLEY CITY
State UT
ZIP 84120
Phone 801 290-7153
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2025
Certificate Expiration Date 6/5/2027
Facility Type Physician Office
Lab Director DAVID MASSINAOPLE

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This page was last updated on: 6/4/2025