46D2068234 CLIA NUMBER - RIDGELINE SURGICENTER LLC

Laboratory Demographics

  • CLIA Code: 46D2068234
  • Facility Name: RIDGELINE SURGICENTER LLC
  • Facility Address: 6028 S RIDGELINE DR SUITE 100
    OGDEN, UT
    ZIP 84405
  • Facility Phone: 801 475-4900
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JENNIFER A. OSBORNE
  • NPI Number: 1710315619
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D2068234
LAB Type Ambulatory Surgery Center
Facility Name RIDGELINE SURGICENTER LLC
Street 6028 S RIDGELINE DR SUITE 100
City OGDEN
State UT
ZIP 84405
Phone 801 475-4900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2023
Certificate Expiration Date 10/29/2025
Facility Type Ambulatory Surgery Center
Lab Director JENNIFER A. OSBORNE

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