46D2045599 CLIA NUMBER - WELLNESS CENTER - WESTECH

Laboratory Demographics

  • CLIA Code: 46D2045599
  • Facility Name: WELLNESS CENTER - WESTECH
  • Facility Address: 3605 S WEST TEMPLE ST
    SOUTH SALT LAKE, UT
    ZIP 84115
  • Facility Phone: 802 857-0400
  • Facility Type: Other - ONSITE HEALTH CENTER
  • Facility Type: Waiver
  • Lab Director: LORI L. CROSFT
  • NPI Number: 1184093924
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D2045599
LAB Type Other - ONSITE HEALTH CENTER
Facility Name WELLNESS CENTER - WESTECH
Street 3605 S WEST TEMPLE ST
City SOUTH SALT LAKE
State UT
ZIP 84115
Phone 802 857-0400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2024
Certificate Expiration Date 8/15/2026
Facility Type Other - ONSITE HEALTH CENTER
Lab Director LORI L. CROSFT

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