46D2051013 CLIA NUMBER - MOUNTAINSTAR CV SURGERY

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CLIA Record

Field Name Field Value
CLIA Number 46D2051013
LAB Type Physician Office
Facility Name MOUNTAINSTAR CV SURGERY
Street 700 WEST 800 NORTH, SUITE 444
City OREM
State UT
ZIP 84057
Phone 801 714-6412
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2024
Certificate Expiration Date 12/10/2026
Facility Type Physician Office
Lab Director SPENCER MELBY

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