46D2108073 CLIA NUMBER - SOVEGNA, PLLC

Laboratory Demographics

  • CLIA Code: 46D2108073
  • Facility Name: SOVEGNA, PLLC
  • Facility Address: 850 EAST 300 SOUTH, UNIT 1
    SALT LAKE CITY, UT
    ZIP 84102
  • Facility Phone: 385 429-9808
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUSAN WIET
  • NPI Number: 1790289098
  • Taxonomy: 2084P0802X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 46D2108073
LAB Type Physician Office
Facility Name SOVEGNA, PLLC
Street 850 EAST 300 SOUTH, UNIT 1
City SALT LAKE CITY
State UT
ZIP 84102
Phone 385 429-9808
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2024
Certificate Expiration Date 1/27/2026
Facility Type Physician Office
Lab Director SUSAN WIET

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