46D2046325 CLIA NUMBER - US SYNTHETIC CLINIC

Laboratory Demographics

  • CLIA Code: 46D2046325
  • Facility Name: US SYNTHETIC CLINIC
  • Facility Address: 1378 S 1600 W
    OREM, UT
    ZIP 84058
  • Facility Phone: 801 426-0606
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SPENCER L. SCOVILLE
  • NPI Number: 1285982108
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 46D2046325
LAB Type Physician Office
Facility Name US SYNTHETIC CLINIC
Street 1378 S 1600 W
City OREM
State UT
ZIP 84058
Phone 801 426-0606
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 8/30/2024
Certificate Expiration Date 8/29/2026
Facility Type Physician Office
Lab Director SPENCER L. SCOVILLE

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