46D2096815 CLIA NUMBER - SPRING CREEK SURGICAL CENTER

Laboratory Demographics

  • CLIA Code: 46D2096815
  • Facility Name: SPRING CREEK SURGICAL CENTER
  • Facility Address: 65 GATEWAY DRIVE, SUITE3
    PROVIDENCE, UT
    ZIP 84332
  • Facility Phone: 435 535-3257
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ALLEN STANTON
  • NPI Number: 1033503420
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D2096815
LAB Type Ambulatory Surgery Center
Facility Name SPRING CREEK SURGICAL CENTER
Street 65 GATEWAY DRIVE, SUITE3
City PROVIDENCE
State UT
ZIP 84332
Phone 435 535-3257
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2025
Certificate Expiration Date 6/1/2027
Facility Type Ambulatory Surgery Center
Lab Director ALLEN STANTON

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