46D2124054 CLIA NUMBER - CONCENTRA SALT LAKE

Laboratory Demographics

  • CLIA Code: 46D2124054
  • Facility Name: CONCENTRA SALT LAKE
  • Facility Address: 204 S WILLEY WAY, STE 101
    SALT LAKE CITY, UT
    ZIP 84104
  • Facility Phone: 801 975-1600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM F. CURRY III
  • NPI Number: 1841736576
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D2124054
LAB Type Physician Office
Facility Name CONCENTRA SALT LAKE
Street 204 S WILLEY WAY, STE 101
City SALT LAKE CITY
State UT
ZIP 84104
Phone 801 975-1600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2025
Certificate Expiration Date 1/8/2027
Facility Type Physician Office
Lab Director WILLIAM F. CURRY III

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