46D2064949 CLIA NUMBER - NUCOR STEEL SAGE

Laboratory Demographics

  • CLIA Code: 46D2064949
  • Facility Name: NUCOR STEEL SAGE
  • Facility Address: 7285 WEST 21200 NORTH
    PLYMOUTH, UT
    ZIP 84330
  • Facility Phone: 312 859-7624
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ALLISON W. LUDLOW
  • NPI Number: 1285003335
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D2064949
LAB Type Physician Office
Facility Name NUCOR STEEL SAGE
Street 7285 WEST 21200 NORTH
City PLYMOUTH
State UT
ZIP 84330
Phone 312 859-7624
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 4/30/2024
Certificate Expiration Date 4/29/2026
Facility Type Physician Office
Lab Director ALLISON W. LUDLOW

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