46D2106022 CLIA NUMBER - EVOLVE ADDICTION MEDICINE

Laboratory Demographics

  • CLIA Code: 46D2106022
  • Facility Name: EVOLVE ADDICTION MEDICINE
  • Facility Address: 5280 COMMERCE DR, #E-190
    MURRAY, UT
    ZIP 84107
  • Facility Phone: 801 266-2000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NIKKI P. GREENWOOD
  • NPI Number: 1235553850
  • Taxonomy: 207QA0401X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 46D2106022
LAB Type Physician Office
Facility Name EVOLVE ADDICTION MEDICINE
Street 5280 COMMERCE DR, #E-190
City MURRAY
State UT
ZIP 84107
Phone 801 266-2000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2023
Certificate Expiration Date 12/7/2025
Facility Type Physician Office
Lab Director NIKKI P. GREENWOOD

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